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Graceworks Music Snail Mail Purchase Order Form For those of you who would like to purchase but not use a credit card online, just print out this form, fill it out and send it to us with your payment. Please send me the following: Title CD or T Qty $each $Cost ____________________________ /_____ x $______ = $__________ ____________________________ /_____ x $______ = $__________ ____________________________ /_____ x $______ = $__________ ____________________________ /_____ x $______ = $__________ ____________________________ /_____ x $______ = $__________ plus Shipping $2.75 TOTAL ENCLOSED $____________
Name ___________________________________________ Address __________________________________________ City:___________________ State: ______ Zip:___________ Phone:______________ E-mail: ______________________ Mail to: Graceworks Music PO Box 288 Barrington RI 02806 Please allow 2 weeks delivery from the time we receive your order
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Send mail to webmaster@graceworksmusic.com with
questions or comments about this web site.
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