Eva Cassidy - Merchandise Order Form

Lauren Wiens Music By Mail Order Form
--- Print this form, fill it out and mail to: --- Webster Records Music by Mail 117 West Lockwood Saint Louis, MO 63119 Questions and phone orders call 314-961-4656 ... you may fax your order to: 314-961-7539 Name _________________________________________Date_____________ Address ____________________________________________________ City _________________________ State ________ ZIP ______________ Telephone ________________________E-mail _________________________
Item No.	Quantity	Description	Price CD	Price Tape	Total

		Lauren Wiens
DBH 899	______	One Two Step	$15.00	$10.00	$ ________
			Subtotal:		$ ________
		shipping & handling:			$ 3.50
			Total:		$ ________
All Titles In Stock Everyday!	____ Check or Money Order enclosed ____ Visa ____ MasterCard ____ DiscoverCard / Expiration Date: ________ Account No. ______________________________________ Signature: ________________________________________ Phone Orders Call 961-4656 in St.Louis or toll free 1-800-678-8863