ORDER FORM
* Please fill in information, check appropriate boxes, and print.
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Mailing
Information
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| First Name: | |
| Last Name: | |
| Street Address: | |
| City: | |
| State: | |
| Zip Code: | |
| Telephone: | |
| E-mail: | |
| Comments: |
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| Order Information |
Description
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Price
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TOTAL
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| 2002 Music CD | New 2002 Music CD - With purchase of a CD you |
$20.00
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| will receive ONE free autographed picture. | |||
| Please select one FREE picture below. | |||
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- Please autograph my CD |
$0.00
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| *CD will have to be unwrapped for autograph. | |||
| Picture A |
$5.00
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- I'm purchasing a CD. Please send this picture for FREE. |
$0.00
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8' x 10' |
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| Picture B |
$5.00
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- I'm purchasing a CD. Please send this picture for FREE. |
$0.00
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8' x 10' |
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| Picture C |
$5.00
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- I'm purchasing a CD. Please send this picture for FREE. |
$0.00
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8' x 10' |
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| Picture D |
$5.00
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I'm purchasing a CD. Please send this picture for FREE. |
$0.00
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8' x 10' |
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| Picture E |
$5.00
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I'm purchasing a CD. Please send this picture for FREE. |
$0.00
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8' x 10' |
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TOTAL
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All
prices include Shipping and Handling.
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| * With order of CD you will receive ONE free autographed collectible picture. Please select your picture preference on form. | |||
| ** CD(s) can be autographed upon request for FREE. Please mark appropriate box. | |||
| note: Your CD will have to be unwrapped for the autograph. | |||
| ***Checks must be cleared prior to shipping. Please allow 4-6 weeks for delivery. | |||
| Make Checks Payable to: | Kathy Young |
| Remit Order Form and Check to: | P.O. Box 1022 |
| Sierra Madre, CA 91025-4022 |
Thank you for your order.
