Lindsey Ridener
CD ORDER FORM:
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|
Qty.
|
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| 1.Lindsey Ridener CD $10.00 |
[ ] |
____ |
|
Total
no. of CD's
ordered @ $15.00 each |
____ |
$________ |
NV sales
tax
@ $1.09 per CD |
____ |
$________ |
Plus
$3 for Shipping & Handling*
(*International orders will be extra) |
$________ |
TOTAL AMOUNT OF ORDER |
$________ |
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PAYMENT METHOD: |
__ credit
card
__ check
__ money order |
| |
|
| CREDIT
CARD INFORMATION |
|
Credit Card: |
___ Visa
___ Master Card
___ American Express
___ Discover |
| Name on
Card: |
________________________ |
| Card
Number: |
________________________ |
|
Expiration: |
MO:___________ YR:______ |
Ship to:
________________________
________________________
________________________
________________________
Phone: ( ) _________________ |
Make
check or money order
Payable To:
Lindsey Ridener
P.O. Box 902
Brownsburg, In.
46112 |
| (Please print your name &
address clearly) |
Thank you! |