ORDER FORM

Please ship the quantity of Vacation Certificates checked below.

Quantity	Selection
	50 Vacation Certificates @ $1.00 each. Total Cost $50
	100 Vacation Certificates @ $1.00 each. Total Cost $100
	250 Vacation Certificates @ $1.00 each. Total Cost $250
	500 Vacation Certificates @ $1.00 each. Total Cost $500
	1,000 Vacation Certificates @ $1.00 each. Total Cost $1,000
	2,500 Vacation Certificates @ $1.00 each. Total Cost $2,500

Print or type how you want "Your Company Name" imprinted on your certificates in this box:

Your Vacation Certificates will ship within 2 working days after receipt of order. C&B Getaways, Inc. pays the shipping charges.
If you are paying by credit card, you may fax in your order and save mailing time.

Fax: (813) 818-7653
SHIPPING INFORMATION

Name of Buyer:
Company Name:
Address:
City:
State:
Zipcode:
Phone:
Fax:
# of Vacation Certificates Ordered:
Total Cost ($):
7% Sales Taxes for Florida Businesses Only ($):
Total Amount of This Order ($):
Method of Payment:	Check or money order payable to C&B Getaways, Inc. VISA MasterCard
Credit Card #:
Expiration Date:
Please charge my credit card this amount ($):
Cardholder's Signature:
For company use only:	DID #4398

Mail to: C&B Getaways, Inc. ~ P.O. Box 1638 ~ Oldsmar, FL 34677 or Fax To: (813) 818-7653