| CD Title | Price Each | Qty | Cost | S & H | Total Cost |
| Just Friends |
$10.00 | #___ | $_____ | $1.75 | $______ |
| Full Circle |
$10.00 | #___ | $_____ | $1.75 | $______ |
| NY residents add 7% sales tax | $______ | ||||
| TOTAL: | $______ |
| SHIP TO: |
| Name: |
| Address: |
| City: |
| State: |
| Zip Code: |
| Phone: |
TO ORDER, PLEASE PRINT THIS PAGE AND SEND YOUR COMPLETED FORM WITH A CHECK OR MONEY ORDER TO:
Frank Moser, Jr.
UB Jazz
501 Pleasant St, Apt. E
Manlius, NY 13104
Phone: (315) 682-9765
Questions or comments for Mose? Send them to Ebmo@twcny.rr.com
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