The Old 78's Mail Order

Curly Miller and Carole Anne Rose

Mail Order Form

CDs

I want to purchase the following titles:

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


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 3 CDs; $4.00 for 4 or more CDs; $3 for each t-shirt.

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