ORDER FORM
print out this page and mail it to:
Calendars By Courtney
32 Sunset Avenue
Long Branch, NJ 07740
Please Print or Type Neatly

NAME___________________________________________________________________

ADDRESS_______________________________________________________________     
  
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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_____________________________________________

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          ENCLOSE A CHECK WITH FULL AMOUNT
          MADE OUT TO:  Calendars By Courtney