REGINA SWIMMER'S
"LIFE GOES ON"
CD Order Form
Name:
____________________________________________________________
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Address:
__________________________________________________________
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City:
_______________________ State: ________
Zip: ______________
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Email:
_______________________________
(In case there are questions about
your order) |
Quantity ordered _________
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SEND CHECK
OR MONEY ORDER FOR $15.00 (US) per CD
PAYABLE TO:
R & E Swimmer
P.O. Box 2354
Cherokee NC, 28719
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