Order Form

Savings Certificates

Please Ship the Quantity of Savings Certificates checked below.

__ 50 Certificates @ $3.00 ea. plus $5. s/h - Total - $155.00

__ 100 Certificates @ $2.00 ea. plus $5. s/h - Total - $205.00

__ 250 Certificates @ $1.75 ea. plus $10 s/h - Total - $447.50

__ 500 Certificates @ $1.50 ea. plus $20 s/h - Total - $770.00

__ 1000 Certificates @ $1.25 ea. plus $40 s/h - Total - $1,290.00

__ 2500 Certificates @ $1.00 ea. plus $90 s/h - Total - $2,590.00

"Personalized" Imprinting Instructions - Please Print Clearly

Print how you want "Your Company Name" imprinted on your certificates on the line below:

Compliments of: _______________________________________________

Your $2,000 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. If you are paying by credit card, you may fax in your order and save the mailing time. Fax to: (813) 818-7653.

Shipping Information

Name of Buyer:_________________________________

Company Name:________________________________

Address:______________________________________

City:________________________ State ___ Zip _______

Phone:__________________ Fax:__________________

Quantity of Saving Certificates Ordered: ----------------------------> _____________

Total Cost Including Shipping & Handling: -------------------------> $____________

Florida Businesses "ONLY". Add 7% Sales Tax: ------------------> $____________

Total Amount Of This Order: -----------------------------------------------> $____________

Method of Payment: __ Check or Money Order payable to: C&B Getaways, Inc.

__ Mastercard __ Visa

Credit Card #: ___________________________________________________

Expiration Date:____________________________

Amount to be charged to credit card: $_______________

Cardholder's Signature:______________________________________________

Mail to: C&B Getaways, Inc., DID# 4989, PO Box 1638, Oldsmar, FL 34677 or Fax to: (813) 818-7653

DID# 4989