DreamHigh.com Store 
500 Briarhill Rd.      Louisville, KY  40206
Fax  1-502-899-5354

From: 
Name    : ______________________________
Address: ______________________________
City/S/Z: _________________ ____ ________

Ship To: 
Name    : ______________________________
Address: ______________________________
City/S/Z: _________________ ____ ________

Payment:
(   )  Check
(   )  Money Order
(   )  Credit Card
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Check/MoneyOrder Payable to:
Conway Stone
500 Briarhill Rd.
Louisville, KY 50206
 
Item Options Price Quanity Total
Follow Your Dreams - Book   $14.95    
Dream High - Audio Tapes   65.00    
Dream High - Video Tape   39.00    
Follow Your Dreams - Lapel Pin   5.00    
Follow Your Dreams - Writing Pen   6.00    
Follow Your Dreams - Note Cards   5.00    
Follow Your Dreams - Magnets   5.00    
Follow Your Dreams - Bumper Stickes   1.00    
Follow Your Dreams - Business Cards   25.00    
Email:  Conway@DreamHigh.com            WebSite: http://www.DreamHigh.com
Shipping:           $3.00 for 1st Item
                        $1.00 for each additional

State Tax:         Kentucky Residents add 6%

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