Order Form for
Mitchell Grobb's Album
"Part of Me"

Fill in the information on this form.
REMEMBER :
-This form cannot be electronically transmitted . It must be printed out and sent through the regular (snail) mail. Follow the directions at the bottom of the form after you have filled it out.

First Name:
Last Name:
Mailing Address:

City:
Province/State:
Country:
Postal Code/Zip Code:
Telephone:
E-mail Address:

Prices:
CD's are $20.00 each
Cassettes are $12.00 each

(All Taxes Included)

Quantity of:
CD's:x $20.00
Cassettes:x $12.00
Click Here to use a calculator

Add $3.00 Shipping and Handling for first item, and
$2.00 for every additional item


Total S&H:


TOTAL:
Click Here to use a calculator

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(End of Form)

Make sure you have fully completed the form,
then use your browser's PRINT button to Print this Page. Then, mail it,
along with a cheque or money order to:


SJL Music
P.O. Box 505
Carberry, Manitoba
Canada
ROK OHO

Please allow 3-6 weeks for delivery

** Cheques should be made out to "Mitchell Grobb Music". Be sure to include cheque or money order along with this form.
DO NOT send cash in the mail. A standard $30.00 fee will apply to all NSF cheques.


Thank You, and enjoy the Music !!