Greta Pope--CD Order Form

Order by Mail:

Complete, print, and mail this form, and your Ordered product will be sent right away!

Product:
Name:

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

Daytime Phone:

Evening Phone:

CD Title

Quantity:

Cost: $15.00 plus $3.57 for tax, shiping and handling

Amount enclosed:

Print form and mail to: Greta Pope, P.O. Box 8937, Chicago, Illinois 60679