Order Form

CDB Inc.

First Name:
Last Name:
Address:
City:
State:
Zip/Postal Code:
Country:
E-Mail Address:
Please write me a brief .description .of .your .beloved. one.
Any special purpose behind this letter.*
etc:
Beloved's Nickname: *
Beloved's E-Mail-Address:*
(If you wish me to send the letter for you)
* all optional

 

Send $50.00 check or money order (do not send cash) to :
 

 
 
 
 
 
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