Core Impact - Event Material Order Form

Use this form to purchase CD's and training manuals. When all data is entered, select the "Submit" button to send. After completing the form below and submitting, send a check for the order's total to the address below. Make checks payable to Life Impact Ministries. Allow approximately two weeks for delivery from the time the check is received. Life Impact Ministries 930 Red Rose Court Suite 104 Lancaster, PA 17601 To see event materials and cost click here. * Required Fields
* Specify Quantity of Director's Kits:
* Specify Quantity of Student Manuals:
Date of Event/Date Materials Needed:
* First Name:
* Last Name:
* Mailing Address:
* City:
* State:
* Zip:
* Telephone Number:
* E-mail Address:
* Church Name:
Please type any additional comments below.