Order Form

Thank you for buying my CD. Please print the below form and complete using pen or pencil. Then mail it along with a check or money order to:

R. Downey
67 Braintree Crescent 
Winnipeg, Manitoba
Canada
R3J 1E1

Name:
Address:
City:
Province/State:
Postal/Zip Code:
Country:
Phone Number:

 

CHECK OR MONEY ORDERS ONLY. PLEASE DO NOT SEND CASH!

Quantity	Item	Price	Total
	CD	$12
	Cassette	$9
	S & H	$3	$3
		Total