You Are Loved Bumpersticker Request Form

Bumperstickers are $1.00 each.

First Name:  

Last Name:  

E-Mail:          

Phone:          

Address:      

City:              

State:           

Zip Code:    

Church Member:  

Qty:  

Special Instructions:

Mail Ck or Money Order to St. Jospeh the Worker
2310 SE 148th Ave. Portland, OR 97233

We will mail you your bumperstickers once we've received your check or money order. So please make sure to put put a note with your check that this is for bumperstickers. Thank you!

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