Order Form - Robert Cuccioli Fan Club Merchandise
(prices for fan club members include postage -
non-members, please add $5)
(print for easy ordering)

2011 Robert Cuccioli Calendar    $25 ________________

2010 Robert Cuccioli Calendar     $12_____________

Collectable Calendars **       $10/each

            2007 ________  2006 ______   2005______  2003 ______  2002 ______  2001 ______

        (each calendar contains a minimum of 13 special photos - a true collectable item for fans)

Coffee  Mugs 2 for $15_____________

**LIMITED  QUANTITIES AVAILABLE


NAME:___________________________________________________________________


ADDRESS:________________________________________________________________


CITY/STATE/ZIP:__________________________________________________________


PHONE NUMBER:__________________________________ (if I have questions regarding your order)


E-MAIL ADDRESS:__________________________________________________________


AMOUNT ENCLOSED:______________________

Please make checks payable to Gay Dupre
Mail order to:
The Robert Cuccioli Fan Club
% Gay Dupre
830 Rockbass Road
Suwanee, Georgia 30024                   
                                                                                                01/11

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