FOR: CURSIVE HANDWRITING LESSONS CD

VENDOR

MULTIMEDIA DESIGN
P.O. BOX 645
KENSINGTON, MD 20895-0645

SHIP TO

NAME ______________________________________________________

ADDRESS____________________________________________________

CITY__________________________________STATE_________ZIP____

QUANTITY ORDERED __________

PURCHASE PRICE $19.95

PAYMENT BY: CHECK __________

MONEY ORDER __________

TOTAL AMOUNT ENCLOSED $_________