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Please
print out this form and mail to the address at the bottom: |
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Name
____________________________ |
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Address
___________________________________________ |
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City
____________________________ |
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Country
____________________________ |
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Zip/Postal
Code ____________________________ |
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1) Commitment
- Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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2) Commitment
- Cassette Tape - $10.00/each
Qty.
____ X $10 = ______ + $1.50/each for postage = |
$______ |
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3) Melody
- Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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4) Melody
- Cassette Tape - $10.00/each
Qty.
____ X $10 = ______ + $1.50/each for postage = |
$______ |
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5) Purify
- Compact Disc - $15.00/each
Qty.
____ X $15 = ______ +$1.50/each for postage = |
$______ |
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6) Embrace
the Change - Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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7) Clear
& Velvet - Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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8) This
- Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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9) People
Like You - Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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10) Assortments
- Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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11) Poems
& Projects - Compact Disc - $15.00/each
Qty.
____ X $15 = ______ + $1.50/each for postage = |
$______ |
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TOTAL
$$$ of Order = |
$______ |
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Make
check or Money Order payable to John Villemonte in US $$. |
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Mail to
: John Villemonte, 1842 Colonial Lane #6, Chanhassen, MN 55317 USA
I
thank you very much for your order -- and ENJOY!
John |
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