CD
Mail Order Form
To order the DANDELION WINE CD by mail, follow these steps:
Step 1. Print out this page and complete the form. Please be sure to include
both your postal mailing address and your email address.
Step 2. Enclose a check or money order (in U.S. Funds only) payable to
Devin Brewer for the total amount.
Step 3. Mail the completed form and your payment to:
Devin
Brewer
P.O. Box 172
Clinton, WA 98236
Quantity |
Item |
Price |
Total |
| x |
DANDELION WINE
Audio Compact Disc
by Devin Brewer
|
$15.00 |
x |
 |
Shipping
(per order)
|
$3 to U.S.A. |
$3.00 |
|
|
TOTAL |
x |
Ship product(s) to:
Name _________________________________________________________________
Address _______________________________________________________________
______________________________________________________________________
City ___________________________________ State ___________ ZIP ____________
Phone (including area code) _________________________________________________
Email address ___________________________________________________________
|