NAME___________________________________________________________________ ADDRESS_______________________________________________________________ __________________________________________________________ PHONE # ________________________ E-MAIL __________________________ (your order) (example) HOW MANY CALENDARS? ____________ ____3______ ONE AT $20 ____$20_____ ___$20.00___ $15 FOR EACH ADDITIONAL ____________ ___$30.00___ SHIPPING & HANDLING ____$5______ ___$5.00____ TOTAL COST ____________ ___$55.00__ LIST SPECIAL DATES YOU WOULD LIKE TO APPEAR ON YOUR CALENDAR _Jan 12- mom's b-day_____________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ ENCLOSE A CHECK WITH FULL AMOUNT MADE OUT TO: Calendars By Courtney