Mail In Order Form
Grocery & Restaurant Savings Certificates
(To Order On Line Go To: www.cbbizorder.com)

Please Ship the Quanity of Savings Certificates Checked below.

(   )  50 Certificates   @ $3.00 ea. plus  $5 S&H - Total Cost with S&H - $155.00
(   ) 100 Certificates  @ $2.00 ea. plus  $5 S&H - Total Cost with S&H - $205.00
(   ) 250 Certificates  @ $1.75 ea. plus $10 S&H -Total Cost with S&H - $447.50
(   ) 500 Certificates  @ $1.50 ea. plus $20 S&H -Total Cost with S&H - $770.00
  (   ) 1000 Certificates @$1.25 ea. plus $40 S&H -Total Cost with S&H - $1290.00
  (   ) 2500 Certificates @$1.00 ea. plus $90 S&H -Total Cost with S&H - $2590.00

Imprinting Instructions - Please Print Clearly

Compliments of ________________________________________________________________

Print exactly how you want "Your Company Name" imprinted on your certificates above.

Your Grocery & Restaurant Savings Certificates will ship the next business day after receipt of your order.  Shipping will be by USPS Priority Mail with signature required for delivery.

Order Information

Quanity of Savings Certificates Ordered.........................................................._____________
Total Cost Including Shipping & Handling........................................................._____________
Florida Businesses "ONLY" Add 7% Sales Tax............................................._____________
Total Amount Of This Order................................................................................_____________

Method of Payment (   ) Check (   ) Money Order - Payable to: C&B Getaways, Inc.

Shipping Information

Name of Buyer ________________________________________________________

Comapny Name _______________________________________________________

Address _____________________________________________________________

City _____________________________ State____________ Zip________________

Phone __________________________________ Fax _________________________

DISTRIBUTOR'S DID # PRINTED HERE                                   DID# 60697

Mail to:  C&B Getaways, Inc. ~ P O Box 1638 ~ Oldsmar, FL 34677