Ordering Form


FOR EASY ORDERING, PRINT OUT ORDER FORM, FILL OUT, & MAIL TO:

187 Irish Way
Pismo Beach, CA
93449

Order Information:

Ship to Name:_____________________

Address:__________________________Apt no._____

City____________________________

State & Zip code___________________

Daytime phone (___)_______________

E-mail Address____________________

Description Item Price QTY
Howard Levy & Paul Sprawl CD
$15.00
_____
Wreckage CD
$15.00
_____
Army of Dreamers CD
$15.00
_____
Dirt Roads CD
$15.00
_____
Lucky Hand CD
$15.00
_____
Blue Suitcase - out of stock CD
$**.**
_____

Subtotal:______________________________________________

7.25% Sales Tax (California state only):_____________________

Grand Total:____________________________________________

CHECKS OR MONEY ORDERS, PAYABLE TO:

Paul Sprawl
187 Irish Way
Pismo Beach, CA
93449

THANK YOU FOR YOUR ORDER!

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