PRINT NO.           QUANTITY       $10 EACH      TOTAL

  	_____________________________________________________________
	
  	_____________________________________________________________

  	_____________________________________________________________

  	_____________________________________________________________

    
  	TOTAL AMOUNT OF MERCHANDISE:		     $________  
    
  	SHIPPING ($3):                               $________
  
  	GRAND TOTAL:				     $________


  U.S. CHECKS, MONEY ORDERS OR INTL. MONEY ORDERS IN U.S. FUNDS ONLY, 
  NO CASH.  Because of U.S.P.S. regulations, merchandise can only be 
  shipped to the U.S., its terrorities and Canada. Shipping is via 
  U.S.P.S. only -- no overnight/UPS. Orders paid by money order shipped 
  upon receipt; by personal check, 4-6 weeks.
  MAKE CHECKS PAYABLE TO: DICK KULPA

  SHIPPING INFORMATION:


  NAME__________________________________________________________________


  E-MAIL________________________________________________________________


  ADDRESS_________________________________________________  APT_________


  CITY_______________________________________  STATE______  ZIP_________


  COUNTRY_________________________  PHONE ______________________________



  PRINT OUT THIS FORM AND MAIL WITH CHECK/MONEY ORDER TO:
  Millennium Angels
  Dept. DKFC
  6146 Terra Rosa Circle
  W. Palm Beach, FL  33437