Tiara Exclusives CD Rom Order Form

NAME:_______________________________________

ADDRESS:____________________________________

CITY, STATE ZIP:_______________, _____   ________

TELEPHONE:  _____-_____-___________ If no email address

EMAIL:_________________________________________

Number of CD'S wanted: _____X $18.00 =_$_______________
There is no Shipping or Handling in the USA

We only accept Personal checks (5-7 day wait) or Money Orders (same day ship)

Please Print clearly as this will be used for shipping your CD to you

Send Payment to:
 Luella & Ken Hartwell
P.O. Box 395
Seal Rock, OR.
97376-0395