Context (plus ReVision) Compares your Congregation to
the People in your Community
WEB SPECIAL
$695.00(reg. $795)
plus $0.95 cents per survey
For a limited time, the special internet price for Context is $695 (plus
$.95 per survey for data entry). We will also include the ReVision program at no
additional cost with your Context order. When you submit this order with payment,
we will ship you a ReVision Guidebook together with a Starter Kit, which includes
Percept's Congregational Survey and everything you need to get started.
PROMOTION CODE
(if applicable)
Customer Information Information required
Your Name
Organization Name
Denomination
Street address
Address (cont.)
City
State
Zip Code
Phone
FAX
E-mail
Shipping Information Information required if different from Customer Information
Name
Organization Name
Street address
Address (cont.)
City
State
Zip Code
Phone
Credit Card Payment
Please fill in each field in the form below for credit card payment so
that your order can be processed promptly. After your order has been processed we
will send a confirmation to the e-mail address above indicating total charges.
Select one of the following
Credit Cards:
VISA
MasterCard
AMEX
NAME AS IT APPEARS
ON CREDIT CARD
CREDIT CARD
BILLING ADDRESS
CITY
STATE
ZIP CODE
CREDIT CARD NUMBER
For your security, we ask for
a Card Identification Number
4 digit American Express ID Number is located on
the front of the card, above the right side of the credit card number; on other
cards the ID Number is located on the back side following the credit card number.
CARD ID NUMBER
EXPIRATION DATE
PRINT THIS FORM FOR YOUR RECORDS PRIOR TO SUBMISSION! If you do not receive an order confirmation by email within 2 working
days,
please call 1-800-442-6277 and let us know.
