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Ron Bartley
14908 Harvest St
Mission Hills, CA 91345
Phone: 818-361-3079
Total Enclosed
$______________
(Check or Money Order in U.S. Currency Only Please)
ORDER FORM
Print Out, Fill In, and Mail to Ron Bartley
Item |
Quantity |
Total |
Ron Bartley Swing Band Red Wine & A Little Bit More CD
|
|
$________ |
|
Shipping and Handling, Add $2.95 - per CD
|
|
$________ |
|
Total Enclosed
|
$________ |
First Name:_____________________________
Last Name:_____________________________
Email Address:__________________________
Company Name:_________________________
Phone Number:__________________________
Fax Number:____________________________
Street Address:__________________________
City:__________________________________
State/Province:__________________________
Other State Province:_____________________
Zip/Postal Code:_________________________
Country:_______________________________
Make check payable to Ron Bartley
Same as Ship to Address - Check here 0
First Name:____________________________
Last Name:____________________________
Email Address:_________________________
Company Name:________________________
Phone Number:_________________________
Fax Number:___________________________
Street Address:_________________________
City:_________________________________
State/Province:_________________________
Zip/Postal Code:________________________
email: swing2danc@aol.com
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