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Order Form

Please print and fill in this form, send with check or money order to:
(Click Edit, Select All, click Edit, Copy, then Paste into Wordpad or Word)

Vanessa
c/o 1731 Front Road
LaSalle, Ontario
Canada N9J 2B8

Name:                                                                                                  
Address:                                                               Apt:                         
City:                                                                     
Province/State:                                                     
Country:                                                               
Zip/Postal Code:                                                  
Phone or email:                                                    

Shipping
one CD

6.00 ea

two or more CDs

4.00 ea


# CDs ordered

                        

 

@ 18.99

Sub-Total

$                      

Plus Shipping

$                      

Total Enclosed

$                      

Vanessa When Worlds Collide
© 1997 Vanessa

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