"Search for Something Sweet"
Phone Number: (_____) _____ - __________ (optional)
E-mail Address: ________________________________
We will not share or sell your personal information to solicitors.
_________ X $12.00 = ___________ (Total Merchandise Cost)
Plus shipping*: 1 disk = $3.00
2 disks = $5.00
3 disks or more = $6.00 + ____________ (Total Shipping)
Make check or money order** payable in the amount of:   ____________ (Total Merchandise Cost + Total Shipping)
Make check or money order** payable to: Vincent Cervoni
Print, complete, and send this form and payment to:
9 North Elm Street
Wallingford, CT 06492
* Shipping rates are only valid for the continental United States. If ordering from over seas
or outside the United States, for shipping
rates, please e-mail email@example.com.
**Money orders or bank checks will result in immediate shipping. Personal
checks will delay
shipping 5 to 10 days to insure payment.