CONTACT INFORMATION      * Denotes Required Field

Church/Organization Name: *
Street Address: *
City/State/ZIP: *		AE AK AL AP AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
Your name as authorized purchaser: *
Church Ministry Area or Department:
Daytime Phone: *		(ex. 6155551212)
Mobile Phone:		(ex. 6155551212)
E-mail Address: *

BILLING INFORMATION

Please select a billing method below: *

Pay with a credit card or establish a new account for my church/organization (How does this work?) If your church or organization does not have an existing LifeWay account, or would like to pay for this order with a credit card, please fill out the information above and submit your order. Before the order is processed, you will be contacted by a LifeWay Store in a Box Customer Service Representative.

Bill my existing LifeWay church/organization account

Account Number:
Purchase Order Number (if required):

SHIPPING INFORMATION

Use billing address as shipping address

Ship-to Name: *
Street Address: *
City/State/ZIP: *		AE AK AL AP AR AS AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MP MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY

Click on a title below to learn more about that product. Please allow at least 7-10 business days for delivery. HOW MUCH SHOULD I ORDER FOR MY CHURCH? Download our list of suggested order quantities based on the number of attendees expected at your event. These are suggestions to help you get started in determining your Store in a Box order quantities below.