North American Cockapoo Registry Screensaver Orwer form

Cockapoos in Your Computer Order Form
(please print clearly)

Name_____________________________________________________

Address:________________________________________________________

City:__________________________________________ State:_____________________ Zip:_______________

Phone (_____) _______________________ Email:_____________________________________

Number of CIYC2.0/2003 CDroms desired for Windows:________

Mac:___________

Amount enclosed (Please make checks or money orders payable to North American Cockapoo Registry):$____________
(minimum requested donation per screensaver is $15.00)

Print this form, complete information and input and send with check or money order :

Ginny Thompson/NACR-Club CockapooSS
112 Mac Ghee Road
Poughkeepsie, NY 12603

Thank you very much!!!