Prudence Johnson - Order Form

Please print and fill out this form to place an order. Send it with your check or money order to: Prudence Johnson 113 West Island Ave. Minneapolis, MN 55401 Make Check or Money Order payable to: "Prudence Johnson"
NAME
SHIPPING ADDRESS
CITY
STATE
ZIP / POSTAL CODE
COUNTRY
EMAIL
DESCRIPTION	FORMAT	QUANTITY	PRICE EACH	TOTAL
A Girl Named Vincent	CD		US$15.00
Gales of November	CD		US$15.00
'sGershwin	CD		US$15.00
Moon Country	CD		US$15.00
Little Dreamer	CD		US$15.00
U.S. SHIPPING RATES: Please include $4.00 for the first CD and $2.00 for each additional CD - postage and handling. All Prices US$ - Minnesota State Tax Included		MERCHANDISE TOTAL
		POSTAGE (See box at left)
		ORDER TOTAL Please make checks payable to: "Prudence Johnson" Thank you for your order