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Date Parish name Your name
Parish shipping address (no P.O. boxes accepted)
City State Zip / Postal code
Your phone Your email
TABLETOP NEXT GENERATION KIOSK
CUSTOMIZATION FORMEFFECTIVE NOVEMBER 15, 2016
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DOWNLOAD THIS PDF
Anything you type while viewing this PDF in a web browser will
not be saved. After you download the PDF, you may begin to enter
your information in the saved file. Once the form is complete, save
it, and rename the file to include your parish name.
SEND IN THE FORM
Once you have completed all three pages of this form, please
email it to your Parish Consultant, listed below.
Your Parish Consultant will send you a Quote with the total for
the order, complete with shipping and handling fees and sales tax
(if applicable). Augustine Institute ships UPS using competitive
rates based upon the weight of the order and location of the
shipping address.
For sales tax exempt customers only: If you are sales tax
exempt, please also email a copy of your exemption certificate to
your Parish Consultant if it is not already on file. We must have a
copy of the certificate itself in order to remove sales tax.
FILL OUT YOUR CONTACT INFO
A SIMPLE 4-STEP PROCESS
PAY FOR YOUR ORDER
Once you receive your Quote, please contact your Parish
Consultant to pay for your order by credit card. If you prefer to
pay by check, please make the check payable to Augustine Institute
and send it to:
Augustine Institute6160 S. Syracuse Way, Suite 310Greenwood
Village, CO 80111
All items will ship once payment has been received.
Parish Consultant contact info
Name _________________________
Phone _________________________
Email _________________________
To learn more, contact your Parish Consultant or call (866)
767-3155.
Visit us at augustineinstitute.org/kiosk.
®
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o SPANISH/ENGLISH HEADER BOARD (FRONT AND BACK)
oHEADER BOARD 2 (FRONT AND BACK)
oHEADER BOARD 1 (FRONT AND BACK)
HEADER BOARD CUSTOMIZATIONSelect your kiosk’s two-sided header
board by placing a check mark
next to one of the three available header boards.
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PRODUCT TITLES CUSTOMIZATIONSelect the titles you want by
placing a check mark next to each desired title. If you don’t want
one
of the titles that comes with the NGK, please type the name of
the replacement title in that column.
ORIGINAL TITLE REPLACEMENT TITLE
The Mass Explained Fr. Larry Richards
The Healing Power of Confession Dr. Scott Hahn
Why Be Catholic? Patrick Madrid
Why a Protestant Pastor Became Catholic Dr. Scott Hahn
For Love and Marriage Johnnette Benkovic
I’m Not Being Fed Jeff Cavins
Jesus Is... Fr. Michael Schmitz
Lectio Prayer Dr. Tim Gray
ORIGINAL TITLE REPLACEMENT TITLE
Is Jesus Really Present in the Eucharist? Bishop Michael
Evans
Prayer Book for Spouses Catholic Truth Society
Pier Giorgio Frassati Glynn MacNiven-Johnston
How to Discover Your Vocation Fr. Stephen Wang
Sexuality and Love Fr. Andrea Gasparino
CD SHELF (8 titles, 10 copies of each)
BOOKLET SHELF (5 titles, 5 copies of each)
ORIGINAL TITLE REPLACEMENT TITLE
Peter Dr. Tim Gray
Catholicism Bishop Robert Barron
Rome Sweet Home Dr. Scott and Kimberly Hahn
33 Days to Morning Glory (Evangelization Edition)Fr. Michael
Gaitley, MIC
BOOK SHELF (4 titles, 6 copies of each)
c1.pdfBlank Page
REPLACEMENT TITLEThe Mass Explained Fr Larry Richards:
REPLACEMENT TITLEThe Healing Power of Confession Dr Scott Hahn:
REPLACEMENT TITLELife is Worth Living Venerable Fulton J Sheen:
REPLACEMENT TITLEAnswering Atheism Ken Hensley: REPLACEMENT
TITLEFor Love and Marriage Johnnette Benkovic: REPLACEMENT
TITLEAnger and Forgiveness Deacon Dr Bob McDonald: REPLACEMENT
TITLEJesus Is Fr Michael Schmitz: REPLACEMENT TITLEThe Mass Comes
Alive episode 1 CatChat: REPLACEMENT TITLEPeter Dr Tim Gray:
REPLACEMENT TITLECatholicism Bishop Robert Barron: REPLACEMENT
TITLERome Sweet Home Dr Scott and Kimberly Hahn: REPLACEMENT
TITLE33 Days to Morning Glory Fr Michael Gaitley MIC: REPLACEMENT
TITLE4: REPLACEMENT TITLET5: REPLACEMENT TITLE6: REPLACEMENT
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