The Old 78's Mail Order

Curly Miller and Carole Anne Rose

Mail Order Form

CDs

I want to purchase the following titles:

• ____ The Women Wear No Clothes at All
• ____ Old Time Fiddle Rags
• ____ Camp Meeting
• ____ I Love this Girl
• ____ Horseshoe Bend

PRICING $16.00 for one cd, $30.00 for 2 cd's, $40.00 for three, $50.00 for four, or $60.00 for all five!

T-shirt

Please list how many of each size and color (i.e., 1 XL Black)

Please add $3.00 shipping and handling for up to 2 CDs; $4.00 shipping and handling for up to 3 CDs; $5.00 for up to 4 CDs; $6.00 for up to 5 CDs; $4 for each t-shirt.

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Please contact us for larger orders or outside of US

AMOUNT ENCLOSED_______

NAME__________________________________________________

SHIPPING ADDRESS: ______________________________

City:_____________________State/province___________________________

Postal / zip code___________________

PHONE_______________________________

EMAIL________________________________

Simply print this form, fill it out, and enclose a check or money order. Mail to:

Carole Anne Rose
11540 Madison 3605
Kingston, AR 72742

Phone 479.665.2146