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| --- Print this form, fill it out and mail to: --- Name ______________________________________________________ Address ____________________________________________________ City _________________________ State ________ ZIP ______________ Telephone ________________E-Mail_____________________________
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| Item No. | Quantity | Description | Price CD | Price Tape | Total |
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| Curb 77888 | ______ | Shine | $14.00 | $10.00 | $ ________ |
| MECI 23001 | ______ | Wonder Child Japanese EP | N/A | N/A | $ ________ |
| Curb 77832 | ______ | Circus | $14.00 | $10.00 | $ ________ |
| Curb 77718 | ______ | Looking Back | $14.00 | $10.00 | $ ________ |
| GH 10010 | ______ | The Holy Ground | $14.00 | $10.00 | $ ________ |
| Grapevine 010 | ______ | The Collection | N/A | N/A | $ ________ |
| GH 10009 | ______ | Babes In The Wood | $14.00 | $10.00 | $ ________ |
| GH 10008 | ______ | No Frontiers | $14.00 | $10.00 | $ ________ |
| GH 10007 | ______ | By The Time It Gets Dark | $14.00 | $10.00 | $ ________ |
| GH 10008 | ______ | Collected | $14.00 | $10.00 | $ ________ |
| GH 10005 | ______ | Without The Fanfare | $14.00 | $10.00 | $ ________ |
| GH 10001 | ______ | Mary Black | $14.00 | $10.00 | $ ________ |
| DARA CDS061 | ______ | Saw You Running 4-song EP | N/A | N/A | $ ________ |
| GH 100111 | ______ | A Woman's Heart | $16.00 | $10.00 | $ ________ |
| GH 100012 | ______ | A Woman's Heart 2 | $16.00 | $10.00 | $ ________ |
| O'BRIEN 360 | ______ | A Woman's Voice (Book) | N/A |
| $ ________ |
| DARA 864 | ______ | Mary Black Song Book | N/A |
| $ ________ |
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| Subtotal: |
| $ ________ | |||
| shipping & handling: |
| $ 3.50 | |||
| Total: |
| $ ________ | |||
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| ____ Check or Money Order enclosed ____ Visa ____ MasterCard ____ DiscoverCard / Expiration Date: ________ Account No. ______________________________________ Signature: ________________________________________ Phone Orders
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Call 961-4656 in St.Louis or