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First Name: _________________________________________ |
Last Name: _________________________________________ |
Address: ________________________________________________ |
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| City: ____________________ State: ______ ZIP: ____________ |
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Price of CD includes shipping & handling:
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US orders: x $18.00 = |
Total Price: ____________
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Canada & Europe: x $22.00 = |
Total Price: ____________
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Other International: x $28.00 = |
Total Price: ____________
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Mail checks or money orders to:
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John Proulx
4605 Cahuenga Bl. #317
Toluca Lake, CA 91602
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