Print out and mail this form to order the items below.

Orders must be paid in $ USA; enclose check or money order ONLY. Orders shipped to countries other than USA require Bank Check ONLY drawn on a USA bank. If you are unable to print this page, send me Email and I will send you an order form via email or by surface mail.

Step 1 - Print this form.

Step 2 - Please fill in your mailing address.

Name:________________________________________________________________

Address:______________________________________________________________

City:_________________________________________________________________

State:_________________ Postal Code:_______________ Country:___________

Phone:______________________   Email address:_______________________

Step 3 - Please indicate the items you would like to order.

Qty	Cost	Item	Total Cost
____	$3.25	Pen - Douglas Yeo Floaty Pen #1 ("Twist n Click" style)	$___________
____	$3.25	Pen - Douglas Yeo Floaty Pen #2 ("Classic Floaty" style)	$___________
____	$3.25	Pen - Le Monde du Serpent Floaty Pen ("Classic Floaty" style)	$___________
____	$15.00	Compact Disc - Le Monde du Serpent	$__________
____	$17.25	Compact Disc AND Pen - Le Monde du Serpent CD AND Serpent Pen	$__________
____	$15.00	Compact Disc - Two Of A Mind	$___________
____	$15.00	Compact Disc - Cornerstone	$___________
____	$15.00	Compact Disc - Take 1	$___________
____	$15.00	Compact Disc - Proclamation	$___________
____	$60.00	Compact Discs - Le Monde du Serpent, AND Two Of A Mind AND Cornerstone AND Take 1 AND Proclamation	$___________
____	$20.00	Book - "In Pursuit of a Dream"	$___________
____	$30.00	Compact Disc - Proclamation AND Book "In Pursuit of a Dream"	$___________
____	$15.00	Compact Disc - In The Family	$___________
____	$20.00	Music Book - "Mastering the Trombone"	$___________
____	FREE	Check this box if your order totals $40.00 or more and you would like a FREE Douglas Yeo Classic Floaty Pen	$ -0-

Step 4 - Please total your order.

__________	Subtotal from Step 3
__________	Shipping and handling (include on ALL orders) Add $1.00 if you are ONLY ordering ONE Floaty Pen Add $3.00 for the first CD or book ordered
__________	Shipping for additional items Add $1.00 for each additional item thereafter. (NOTE: If you have ordered $40.00 or more of merchandise, do NOT add $1.00 for your FREE floaty pen).
__________	Overseas shipping (In addition to above) Add $6.00 additional for each order shipped outside USA or Canada EXCEPT if you are ordering just ONE floaty pen for which you should add only $2.00 additional for overseas shipping.
__________	Grand Total Enclosed (Make Check payable to: Douglas Yeo )

Step 5 - Mail (NOT Email) this form to:

Questions about this order form?