Check/Money Order Form
Name: __________________________________
Address: ________________________________
City: _________________________ State: _____ Zip: _________
Email: _______________________
(optional, include if you would like to
receive our newsletter)
| Album |
|
|
|
| Lunch - CD | $15.00 | - | - |
| Lunch - Cassette | $10.00 | - | - |
| Pack of Dogs - CD | $15.00 | - | - |
| Sold Out at the Center - CD | $15.00 | - | - |
| Everything on your Plate - Cassette | $10.00 | - | - |
| Live in Salida - CD | $15.00 | - | - |
| Sub Total: | - | - | - |
| Free Shipping within the USA. Add $5.00 for international orders: | - | - | - |
| Total: | - | - | - |
Print Form and Send with Check or Money
Order to:
Bruce Hayes
1108 CR 4
Howard, CO 81233