Print out and mail to: Pilliard Dickle 102 Broadway Street St. Simons Island GA 31522 678-656-2326 ExploreTheFuture.com

Credit Cards, Checks and Money Orders Accepted

Name	.
Address	.
City / State / Zip	.
Phone	.
E-Mail	.

O Check | O Money Order | O VISA | O MasterCard

Card Number

.Expiration

Qty	Item	Price	Amount
	2010 Calendar, Paper	20.00
	2010 Calendar, Laminated	25.00
	2010 Calendar, Framed	110.00
.	Personalization, per calendar (List info on back or separate sheet)	12.00	.
.	Book: The Calendar World of Pilliard Dickle	14.95	.
	Shipping (See shipping rates below)		.
	Total

Shipping: 5.95 for the first item, 1.50 each additional item Above shipping charges apply to each address shipped to Personalization: Please list any personalization information (names, dates to be highlighted, etc.) on a separate sheet or on the back of this form. Gift orders: You can have calendars delivered as gifts in your name. Please include your gift list on a separate sheet or on the back of this form. Include any messages to appear on gift cards. *Sizes: 17x22 is the same size as previous years. 18x24 is a standard frame size
Thank you for shopping with Pilliard Dickle!