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Send completed form (please print clearly) with payment (check or money order in U.S. funds) to:
Wayne Scott Smith - P.O. Box 530714 - Lake Park, FL 33403-8911
1-888-277-8181 (Toll Free) * 561-848-5375 * 561-840-7946 FAX * dream2@gate.net

Description Quantity Price each
Total
Book: "Dolphin Tales" see product   $12.95    
Set of 8 Notecards see product   $20.00
Adopt-A-Dolphin Kit
Please specify which dolphin.---- 		$40.00
9x12" glossy prints
"Wild Spotted Dolphin" $7.50
"Tender Look" $7.50
"Mother and Child" $7.50
Combination discout:
"Dolphin Tales" book, Notecards, and all 3, 9x12 prints		 $36.95
16" X 20" glossy art prints
"Tender Look" $20.00
"Mother & Child" $20.00
"Wild Spotted Dolphins" $20.00
Subtotal:
Florida Residents add 6% Sales Tax: Tax:
Shipping and Handling - (2 lbs.) $4.00
Total
Name: Address:
City: State: Zip: Country:
Phone: email: Fax:

If different from above please include

Adopt Certificate Name:
Ship To Name: Address:
City: State: Zip: Country:
Phone: email: Fax:
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