Please complete this form and mail to:
Attn: CD Order 645 W. Noble St. Lebanon, IN 46052	Mail Order Form

Ordered By:
Name:	___________________________________
Address:	___________________________________
City/State/Zip:	___________________________________
Phone No.	___________________________________

Cassette/CD Quantity Name Unit Price Total Price Cassette   Come to the Table by Marc Imboden $5.00   CD   Come to the Table by Marc Imboden $10.00   new!  CD   Drive by Marc Imboden $15.00                       Total Merchandise Price $ (Add 6% sales tax if you live in the state of Indiana) Tax $ (Add $2.50 for each CD or cassette) Shipping & Handling $ Total $

Please include check, cashiers check, or money order payable to Marc Imboden Thank you for your order! Please allow 7-10 business days for delivery.