LAURA TAYLOR
CD ORDER FORM:
|
|
|
Qty.
|
|
| 1. Cry Me A River |
[ ] |
____ |
|
| 2. Mountain Greenery |
[ ] |
____ |
|
3. Songs of the
Winter Season |
[] |
____ |
|
4. My Funny Valentine...
Memories of Chet Baker |
[ ] |
____ |
|
Total
no. of CD's
ordered @ $15.00 each |
____ |
$________
|
NV sales
tax
@ $1.09 per CD |
____ |
$________
|
Plus
$3 for Shipping & Handling*
(*International orders will be extra) |
$________
|
TOTAL AMOUNT
OF ORDER |
$________
|
|
|
| PAYMENT
METHOD: |
__ credit
card
__ check
__ money order |
|
|
| CREDIT
CARD INFORMATION |
| Credit
Card: |
___ Visa
___ Master Card
___ American Express
___ Discover |
| Name on
Card: |
________________________ |
| Card
Number: |
________________________ |
| Expiration: |
MO:___________
YR:______ |
Ship to:
________________________
________________________
________________________
________________________
Phone: ( ) _________________ |
Make
check or money order
Payable To:
LAURA TAYLOR
2860 Augusta Dr.
Las Vegas, NV 89109 |
| (Please print your name
& address clearly) |
Thank you! |