Cecchetti Video Order Form

Please print out this form and mail along with your payment to: Rose Marie Floyd 4937 Moonglow Troy, Michigan 48098

Please make checks payable to: Rose Marie Floyd. Please allow approximately 4 weeks for delivery.

Method of Payment: [   ] Check   [  ] Money Order  (Sorry, credit cards not accepted at this time)

Quantity	Description of Item	Price Each	Total
	Cecchetti Video (VHS)	$24.95
	Shipping fee per video	$5.00
		Total

Shipping Address
Name
Street
City
State
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Phone

Email

phone: (248) 641-9063 or email: orders@rosemariefloyd.com Thank you for your order!

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