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ORDER FORM

Please print this form, fill it out and mail it

with your check or money order to:

Winner Music Publications 

106 Kuethe Drive 

Annapolis MD, 21403

 

Please make checks and money orders payable to Ellen Winner.

 

Name:........................................................

Address:.....................................................

....................................................................

 

Item description

quantity

price

 total price

       
   

 

 
       
 

 

   
   

 

 
   

 

 
   

 

 
       
   

 

 
       

TOTAL of all items:

 

Add Shipping/Handling:

 

Total amount for order:

 

 

Shipping and handling charges:

1st Class Mail Delivery:

1 item: $4.00

2 items: $5.00

3-4 items: $6.00

5-6 items: $8.00

7+ items:  $10.00