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CHRIS HOLDER

RECORDINGS ORDER FORM

Please print this page.  Fill in the information and mail it with a check for the total amount to:
Chris Holder
StorySinger Productions
14663 West Lake Road
Hammondsport. NY 14840
 ALBUM
 CD
($15 ea.)
 CASSETTE ($10 ea.)
 QUANTITY
 PRICE
Grasshopper Pie
 
     
Imagination Cruise        
StorySinger        
1st class shipping and handling: $2 ea. for one or two; $1 each additional; maximum $6        
 NY residents please add 7% sales tax. Tax exempts write # here:
       

TOTAL ENCLOSED -- >
       

Ship to: (please print clearly)
Name: _____________________________________
Mailing address _____________________________________
City, State, Zip:
___________________, _________, _______
Phone with area code:
(  ______ )     ______ - ___________ ext: ___

If there are any questions contact Chris Holder  via e-mail (chrisholder@roadrunner.com ) or phone (607/868-7249).  E-mail is preferred.
 form date: 16-aug-04