POL-AM Church Supplies. Order Form.

POL-AM

Church Supplies

Serving the Clergy and Religious

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Mail Orders:

POL-AM Church Supplies
P.O. Box 2743
Clifton, NJ 07015

Office: 973.778.1856
Direct: 973.809.7238
Fax: 973.867.3646

Any question?E-Mail: polamchs@oplatki.com

POL-AM Church Supplies

PO Box 2743

Clifton, New Jersey 07015

BILLING INFO.

Name

Address

City

State Zip Code

E-mail

Phone number

Shipping Info: same as billing info.

Enclosed is: Check Money Order. Payable to POL-AM Church Supplies

Bill me later

Regular Monthly Delivery 2-3days of delivery, USPS Priority mail

UPS GROUND Express / overnight

Fill in and print this Order Form using your browser and mail or fax to us.

Items Ordered	Quantity	Price	Total
5" Concelebration Priest's Host whole wheat / 25 pcs concelebration		$10.00
5" Concelebration Priest's Host white / 25 pcs		$10.00

6" Concelebration Priest's Host whole wheat / 25 pcs		$10.90
6" Concelebration Priest's Host white / 25 pcs		$10.90

10" Concelebration Priest's Host / 10pcs		$19.50

Priest's White Host 2 3/4 " / 50 pcs (cross incised) double thickness		$4.50
Priest's White Host 2 3/4 " / 50 pcs (dissolve quickly) assorted designs		$4.50
Priest's Host 2 3/4" / 50 pcs (cross incised)		$4.50

Altar Bread 1 3/8" / 500 pcs white &embossed (fast dissolve) photo		$4.50
Altar Bread 1 3/8" / 500pcs (white, double thickness) cross incised		$4.50

Altar Bread 1 1/2 " / 250 pcs whole wheat		$5.50
Altar Bread 1 1/2 " / 250 pcs white, double thickness		$5.50

Altar Bread 1 3/8" / 500 pcs 70% whole wheat		$4.90
Altar Bread 1 3/8" / 500 pcs whole wheat (cross incised)		$7.25

Altar Bread 1 1/8" /500 pcs whole wheat (cross incised)		$5.40
Altar Bread 1 1/8" /500 pcs white (cross incised) photo		$5.40

Incense of St.Francis 0.66oz photo		$3.90

TOTAL DUE
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