Materials
Order Form

Name*
First Name Last Name
Name of Artist/Speaker Group
Email*
Phone Number*
- Ship to address on file
- Ship to address listed below
Delivery Address for Order
Street Address Address Line 2 City State ZIP Code
Earliest Date Order Can Arrive
- ASAP
Order can arrive without signature*
- Yes
- No
New Artists and Speakers
(No need to select from other items below. A complete starter kit will be sent to you.)
- Starter Kit for New Artists
(No need to select from other items below. A complete starter kit will be sent to you.)
Items for Reordering
Rescue Partner Packs (select amount):
Rescue Partner Packs other amount:
Rescue Partner Envelopes (select amount):
Rescue Partner Envelopes other amount:
Pens (select amount):
Pens other amount:
Materials Order Form (select amount):
Materials Order Form other amount:
Concert Report Form (select amount):
Concert Report Form other amount:
FedEx Labels (select amount):
FedEx Labels other amount:
One-time Donation Envelopes (select amount):
One-time Donation Envelopes other amount:
General Brochure (select amount):
General Brochure other amount:
6×9 White Envelopes (select amount):
6×9 White Envelopes other amount:
Comments

Destiny Rescue USA
10339 Dawsons Creek Blvd Ste. C
Fort Wayne, Indiana 46825

New Artists and Speakers