Greta Pope--CD Order Form

Order by Mail:

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

Name:

Address Line 1:

Address Line 2:

City:

State:

ZIP Code:

Daytime Phone:

Evening Phone:

Quantity:

Cost: $20.00 (includes shipping and sales tax)

Amount enclosed:

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