Telephone:________________Email:__________________

Quantity Ordered:

x 22.95 each

= ___________

Shipping & Handling:

= ___________

Total of Check Enclosed:

= ___________

Name: ______________________________

Address:_____________________________

Address2:____________________________

City:_______________________State:______ Zip:_______

Telephone:________________Email:__________________

Shipping Address (if Different)

Name: ______________________________

Address:_____________________________

Address2:____________________________

City:_______________________State:______ Zip:_______

(Please allow 10 working days for your check to be processed)

Sales Tax (IL residents):

= ___________

x 6-3/4%

PRINT THIS FORM & MAIL IT TO:

ConDesCo

P.O. Box 72392, Roselle, IL. 60172

$22.95 each

Copyright ConDesCo 2001-2006. All Rights Reserved

x FREE!