ORDER FORM

ORDER FORM
Copy, Print, and Send Form for easy ordering.

Make Checks or Money Orders (in U.S.$ Funds Only)
Payable to: "Donna Kent"

Send NAME, ADDRESS, CITY, STATE, ZIP, E-MAIL ADDRESS, & PHONE # TO:

Cosmic Society/Donna Kent, 40 Francis Street, Ansonia, CT 06401 ATTN: Order Dept.

QTY	DESCRIPTION	SIZE / TYPE / ISSUE#	TOTAL
.	1 YEAR BASIC MEMBERSHIP	------------------	.
.	NEW MILLENIUM GHOST CALENDAR	-------------------	.
.	ENROLLMENT PACKAGE # 1	.	.
.	ENROLLMENT PACKAGE # 2	.	.
.	PARANORMAL INVESTIGATOR PACKAGE # 3	.	.
.	SIMPLE HOUSE BLESSING PACKAGE # 4	--------------------	.
	ONE YEAR NEWSLETTER SUBSCRIPTION ONLY
.	COSMIC CANDLE KIT		.
.	NEW! MINI-MOJO BASKETS (SPECIFY TYPE)
.	WHITE W/PURPLE logo T-SHIRT	.	.
.	WHITE W/PURPLE logo SWEATSHIRT	.	.
.	BLACK W/WHITE logoT-SHIRT	.	.
.	BLACK W/WHITE logo SWEATSHIRT	.	.
.	GREY HOODED Zip Front SWEATSHIRT W/PURPLE logo	.	.
	LONG SLEEVE T-SHIRT BLACK w/white logo
	LONG SLEEVE T-SHIRT GREY w/purple logo
.	CSOPI SALTS! (Indicate which types)		.
.	NEW! GIFT SETS (Choose type and size)
.	INDIVIDUAL BACK ISSUES OF NEWSLETTER	.	.
.	INVESTIGATING HANDBOOK by Donna Kent	85 pages	.
.	TAROT, TEA OR COFFEE READING	.	.
.	*WEBSITE ADVERTISING (include average size banner & Indicate display page see price list)**	Home/Major/Inner	.
.	NEWSLETTER ADVERTISING ( include camera ready art)	Bus. Card, 1/2 Page, Full Page	.
.	NOVELTY CANDLES (please specify which)	.	.
.	.GIFT CERTIFICATE (Indicate $ Amount)	SUBTOTAL	.
.	.	SHP/HAND	INCLUDED IN PRICE
.	.	TAX 6% (CT)	+ .
.	.	10%MEMBER DISC. 10%	- .
.	.	SUBTOTAL	.

FOR OFFICE USE ONLY

Check # Date

Date Shipped: 10% disc. 6% CT tax Member Non-Member

FUNDS RAISED HELP TO SUPPORT GROUND LEVEL PROJECTS. THANK YOU FOR YOUR SUPPORT OF THE COSMIC SOCIETY OF PARANORMAL INVESTIGATION.
ALL SALES FINAL.