Poetry Calendar Order Form

PERSONALIZED POETRY CALENDAR
** ORDER FORM **

Please print this form and mail with your order

NAME_________________________________________________________________

MAILING ADDRESS_____________________________________________________

CITY, STATE, ZIP_______________________________________________________

PHONE________________________________________________________________

EMAIL_________________________________________________________________

1	Original personalized poetry calendar @ $19.95 plus $4 shipping	$ 23.95
	Duplicate calendars @ $12.95 plus $2 shipping EACH	$
	TOTAL ENCLOSED	$
SPECIFY CALENDAR YEAR ________________

Instructions:

1) E-mail us 12 original poems (one for each month) and up to 12 special dates such as birthdays or anniversaries, along with a photo or other image for the cover.

2) Send a check or money order made payable to "NAN CRUSSELL COMPUTER SERVICES." Please compute your total price based on the above rates, and specify calendar year. Mail payment to:

Nan Crussell Computer Services
PO Box 334, Newcastle, CA 95658
or
print and FAX orderform to (877) 471-6895
and we will bill you online by credit card

email any questions to us at calendar@silentwords.com

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