ORDER FORM

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address below.
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Ordered by:

Your name ____________________________________

Address_______________________________________

City/State___________________________________________

Zip________________

Your phone # _____________________

E-mail address__________________________


Qty        Title                                                                                          Price Each                   Total

_______ Down in a Coal Mine CD                                                               $10.00           $________




_____  
Music of the Mountains CD                                                             $10.00            $________





_____
An Old Time Christmas CD                                                                 $5.00             $________
                                  


                 

Shipping (USA) only-                                          
$1.50 each item         
$_________                                                  
                                                  Total Amount               $__________

Make Checks Payable to: David Matsinko  or "Buy Now" with paypal

Mail to:   David Matsinko
65 White Oak Rd.
Lehighton, PA 18235
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