Order Form Shrine of Our Lady of Sorrows, Starkenburg, MO

Order Form for Shrine Series Pewter Ornaments
Print the order form, fill out the order form and mail to:
Ornaments: The Shrine of Our Lady of Sorrows
c/o Church of the Risen Savior, 605 Bluff St., Rhineland, MO 65069
Make checks payable to: Shrine of Our Lady of Sorrows

Ordered By:

Name:

Address:

City, St, Zip

Phone: Email:

Ship to:

Name:

Address

City, St, Zip:

Gift Card Information

Order: Each Ornament is $12.00

Qty Year Ship to: Amount:

Subtotal

Tax @ 4.3%

Shipping:
$4.00

Total

Additional Information:

2000 Shrine Our Lady of Sorrows

2001 Log Chapel

2002 Pieta Ornament

2003 St. Martin's Church

For more information about the beautiful Shrine of Our Lady of Sorrows or to obtain a hard bound history book, please contact us at pastor@historicshrine.org

Shrine of Our Lady of Sorrows
605 Bluff St.
Rhineland, MO 65069
573 236 4390
pastor@historicshrine.org

bound

Order Form for Shrine Series Pewter Ornaments Print the order form, fill out the order form and mail to: Ornaments: The Shrine of Our Lady of Sorrows c/o Church of the Risen Savior, 605 Bluff St., Rhineland, MO 65069 Make checks payable to: Shrine of Our Lady of Sorrows

Order Form for Shrine Series Pewter Ornaments
Print the order form, fill out the order form and mail to:
Ornaments: The Shrine of Our Lady of Sorrows
c/o Church of the Risen Savior, 605 Bluff St., Rhineland, MO 65069
Make checks payable to: Shrine of Our Lady of Sorrows