"Search for Something Sweet"
Order Form

Name:_______________________________________________

Address:_____________________________________________

               _____________________________________________

               _____________________________________________

Phone Number: (_____) _____ - __________ (optional)

E-mail Address: ________________________________

We will not share or sell your personal information to solicitors.

CD Order:

                      Quantity

                     _________           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:

        Vincent Cervoni
        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 vcbluzman@hotmail.com.
**Money orders or bank checks will result in immediate shipping. Personal checks will delay
shipping 5 to 10 days to insure payment.