Chaplain Bible Request Form

Are you a Chaplain or are you ordering these Bibles on behalf of an active duty Chaplain?
- I am an Active Duty Chaplain
- I am ordering on behalf of an Active Duty Chaplain
It is our mission to distribute Bibles through active duty Military Chaplains. For that reason you MUST be a Chaplain or ordering on behalf of an active duty Chaplain to receive Operation Worship Bibles via this request form for 1/2 Pallet & 1 Pallet Orders.

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Are you planning on shipping these Bibles to any address NOT located within a Military base?*
- Yes
- No

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Your Bible Request Details
Please enter your information below to properly place and process your order
About You (Who is placing this order?)
Your Rank/Title
Your Name*
Your Branch*
Your Phone #*
Your Email*
Note
Due to an agreement we have in place since 2006 with the Pentagon, we can only distribute Bibles through an Active Duty Chaplain. We will accept orders for Bibles from Chaplain's Assistants or other representatives but an Active Duty Chaplain must be the primary requestor. We also require that your Bibles be delivered to a building on Base, preferably a Base Chapel. We do not send Bibles to residential addresses or addresses outside of an active base.

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Chaplain's Contact Information
Name*
First Last
Chaplain Rank
Official Military E-mail Address*
Phone*
Cell Phone

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Shipping Location
This will be the base where the Bibles will need to be shipped to.
Base Delivery Address
Bible Base Shipping Street Address

Street Address Address Line 2 City State ZIP Code
Base Chapel Name
Order Notes
Order Notes or Special Requests

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Alternate Contact Information
This is the contact information for a person (other than you) we should contact if any issues should arise regarding your order. This does not happen often, but it helps to know the right person we should speak with in case of emergency.
Alternate Contacts*
First Name Last Name Phone Number

At least one is required. Maximum of 5 is allowed.

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Unit Insignia/Patch Bibles - LIMITED TIME ONLY

You will now be able to add your own Unit Insignia or patch to the front cover of the Operation Worship Bible that matches your own ACU/ASU Patch or Dress full color dress insignia. We have a minimum order of 1,536 Bibles and there is no cost to the Military for this addition. To do this, we will require a few things from you.

If you would like to use your ACU or Army Service Uniform Patch or the appropriate patch for other branches - AF, Navy, Marine Corps, Coast Guard:

Please upload your High Resolution insignia below in .pdf, .jpg, or .png format. This graphic image can be in any of these formats but a high resolution image should be at least 2 MB in size. Images smaller that this can not be used - If you have any questions, please contact your media team for assistance. We will then create a digital version of the new Front cover for your Bibles and when completed, will send the proof back to you for your approval. Upon your approval, the Bibles will be cued for printing.

The expected delay time for these customized Bibles could be 4-6 months. We will keep you posted during this time period with the status of your order. As soon as the customized Bibles are printed in the Central United States, they will be shipped directly to your shipping address.
Qty to Order
Branch for your order
Unit Title*
Each custom insignia Bible requires a unique Unit name like “Army Pacific Command Edition” or “Army 7th Infantry Division Edition. Please enter the name of your unit to be used as the Title for your Bible.
Please upload your insignia file (optional)
Accepted file types: pdf, png, jpg, jpeg, gif, psd, ai, indd, , Max. file size: 20 MB.
(20MB Max Size)
Name of Insignia
(Not Required, only if you have it)

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Please check the box to confirm, then click submit.

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First Name	Last Name	Phone Number

Step 1 of 9

Your Bible Request Details

About You (Who is placing this order?)

Note

Chaplain's Contact Information

Shipping Location

Alternate Contact Information

Your Bible Request Details

Unit Insignia/Patch Bibles - LIMITED TIME ONLY

Please check the box to confirm, then click submit.