Family CD Order Form

First  Name *:
Last Name *:
Address *:
Address 2:
City *:
Province * and Postal Code *:	AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT Other
Country *:
Email *:
Home Phone *:
Work Phone:
Mobile Phone:
Number of CD's @$20 each *:	0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Note: As a special offer to you, Stephanie has decided to include all Shipping, Handling and Taxes in this one great price of $20 per CD! By ordering right now, your TOTAL price for this CD is only $20.00
Comments:
To order by cheque: Fill out this form Print this page Make your cheque payable to Stephanie Mainville Mail the printed page and the cheque to   1760 Rothesay Road Rothesay, NB  E2H 2J5 To pay by Online Credit Card or eCheck, Please press the button below. To Pay by cheque Click the button below and Close the window that pops up.  Your order will be shipped when we receive your payment by mail.