CD America Project
Produced by Judy
Lamppu
America Speaks from the Heart
Order Form (Click
here to Print)
|
Your Name ____________________________________________ Company _____________________________________________ Address ______________________________________________ City _______________________ State ________ Zip __________ Telephone _____________________ Fax ___________________ Email and/or Website ____________________________________ |
| How did you hear about America Speaks from the
Heart?
_____________________________________________________ |
| How many CDs do you want to order? xxx
_______________
How are you paying? xxx (circle one) xxxx check xxxx credit card |
| Quantity of CDs xxxx $
___________x $16 first
CD; $14 each add'l
CA Sales Tax xxxxxx $ ___________ x 8.25% (CA residents only) Shipping xxxxxxxxxxx$ ___________x $3 first CD; $1 each add'l TOTAL ORDER xxxx $ ___________ |
| If you are paying by credit card, please provide:
Name of Card _________________________________________ Card No. ________________________________ Exp. ________ Signature ____________________________________________ |
| ...end of order form |
