Medallion Order

Order chips and medallions for your friends, church or recovery group. They will appreciate your thoughtful gift. Please fill out the form below to request them:

	White Plastic Chips 95 cents each. "The serenity to accept... the courage to change... the wisdom to know."		Gold-tone Medallion $14.95 each. Recovery Prayer on back.
	Blue Plastic Chips 95 cents each. "One Day at a Time through the power of Jesus Christ."		Key Ring $6.95 each
	CIR Membership Decal $1.99 each

Complete ALL information so we can process your request. $5.45 shipping and handling applies. Shipments overseas must be post paid.
Email Address:
Name
Address
Address 2
City
State
Postal Code
Country
* Credit Card number
Double Check Your Number!
* Expiration date	010203040506070809101112 / 201220132014201520162017201820192020 Card Verification Code
Double Check Your Exp. Date!
Payment Method	VisaMastercardDiscover Card

You may also print out this page and pay by check. Send to:
Christians in Recovery
P.O. Box 4422
Tequesta, FL 33469

Each One Reach One!