DARE to be You ORDER FORM
Shipping Information (Please print) ___________________________________ ___________________________________ ___________________________________ ___________________________________ Phone _____________________________		Invoicing Information (please print) ___________________________________ ___________________________________ ___________________________________ ___________________________________
To place your order fax, phone, or mail this form to:		Colorado State University CSUCE/4-H/DTBY 104 University Square Ft. Collins, CO 80523-4040 (970) 491-2666 FAX: (970) 491-6390
Quantity Item Description Unit Price Total Shipping & Handling (approx 10% of order) Total
Shipping and Handling Charges are actual costs and will reflect on the invoice. To estimate the cost, use 10% of the total order price.