Bluegrass CD Order Form
 Date
 # Ordered Each
 Name
 Address
 City
 State
 Zip Code
 Telephone
 Email
 Amt for CD's
 Shipping
 Total remitted
 Fill in form, print,  send with check or money order  to address below
 Mail form along with your check or money order to
                                 Eric Lewis CD's
  5242 County Road 8800, West Plains, Mo 65775
                   Allow two weeks for delivery
 CD  $15  +  $3  Shipping  = $18 (for each CD) ordered
Christmas time's a comin single $8.99 +$2.00 Shipping

                      1=$18;    2=$36;   3=$54  4=$72
Total Ordered