| First name: | |
| Last name: | |
| Address 1: | |
| Address 2: | |
| City: | |
| State or province: | |
| Zip or postal code: | |
| Country if other than US: | |
| telephone: | |
| email: |
ORDER INFO (please do the math and fill in the boxes):
| Number of CDs you are ordering @ $15 per CD (includes shipping in US and Canada) |
|
= $ |
| Foreign orders -- Please add $3 shipping/handling per CD: | = $ | |
| Please fill in your GRAND TOTAL: | = $ |
Now, please print out this page and mail it to me with your personal check or money order. To expedite your order, email me and introduce yourself, and let me know that you're sending me this form and your check -- I'll get your order ready and send it off upon receipt of your snail mail. Thanks for your interest in my music! -- James Grant