CD Order Form
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Mail completed order form with check or money order to:
Bill Durham
231 Court St.
Clarksdale,MS 38614
MAKE CHECKS PAYABLE TO: Bill Durham
Name:
Address:
City: State: 
Zip Code:   Phone: 
E-mail address:
Item
Quantity
Cost
Each
Total


Bill Durham - I've Got The Song (CD)

$12.00


Bill Durham - My Kind Of Music (CD)

$12.00

All orders are shipped via US Postal Service

SHIPPING

  

 $3.00

 

Total

I am making payment by check or money order, enclosed:

Would you like your order shipped to address above?  If not fill in an alternate address below.

NAME:_________________________________

ADDRESS:_____________________________

City:___________________________________

State:_______________ ZIPCODE___________ 

Thank you for your order!  Please allow up to 3-4 weeks for delivery.

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