2011 Neil Diamond Calendar Order Form - PLEASE ORDER BY June 30, 2010

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2011 Neil Diamond Calendar Order Form - PLEASE ORDER BY June 30, 2010 Powered By Docstoc
					  2011 Neil Diamond Calendar Order Form – PLEASE ORDER BY June 30, 2010
        Price includes postage (first class), shipping and handling


                  1 calendar     $30.00                     1 calendar            $36.00
                  2 calendars    $60.00                     2 calendars           $67.00
      USA         3 calendars    $88.00        Europe       3 calendars           $97.00
                  4 calendars   $116.00                     4 calendars          $129.00
                  5 calendars   $144.00                     5 calendars          $160.00
                  1 calendar     $36.00                     1 calendar            $30.00
                  2 calendars    $66.00                     2 calendars           $60..00
    Australia     3 calendars    $99.00        Canada       3 calendars           $88.00
                  4 calendars   $130.00                     4 calendars          $116.00
                  5 calendars   $162.00                     5 calendars          $144.00


I’ve included $_________________________for _____________________ calendar(s).

YOU MUST SEND PAYMENT IN EITHER US CHECK OR INTERNATIONAL MONEY ORDER OR CONSIDER
USING PAYPAL – INFORMATION INCLOSED. PLEASE DO NOT SEND CASH. IF YOU DO I CAN’T BE
RESPONSIBLE IF IT’S LOST.

IF POSSIBLE PLEASE USE A PRINTED LABEL BELOW SHOWING YOUR COMPLETE MAILING ADDRESS,
ESPECIALLY FOR OVERSEAS ORDERS

Name_________________________________________________________________________
Address______________________________________________________________________

City_________________________________________________________________________

State________________________________________________________________________
Country______________________________________________Zip Code________________

Please confirm my order by email.         Yes__________         No____________

Email Address (Please write legible)

_____________________________________________________________________________

Otherwise for confirmation of your order, please include a self-addressed, postage
paid envelope, an international coupon response or something equivalent.

Birthdays are   NOT carried over from year to year. So if you want your birthday(s)
included in the 2011 calendar you MUST include them here or on the note area on PayPal.

Please limit the birthday(s) to TWO per order. For additional birthdays use back.

Name________________________________________Month________________Day__________

Name________________________________________Month________________Day__________

Name________________________________________Month________________Day__________

Name________________________________________Month________________Day___________

Send orders to:   Jean Scigliano                        Phone number is 515-263-8016
                  PO Box 8051                           Email – jscigliano@mchsi.com
                  Des Moines, IA 50301-8051