Order Form

ORDER FORM

Print and complete this form:

Name:

Mailing Address:

City, State, Zip:

Quantity	Item	Price ea.		Total
	Another Sunny Day In California	$15.00
	Trouble At The Mine	$15.00
			Add $5.00 shipping & handling	$5.00
			ORDER TOTAL

Checks or money orders only please, made payable to Cindy Siegfried. No credit cards accepted. Orders will be shipped U.S.priority mail. Allow 2-3 weeks for delivery.

Send orders to:

Cindy Siegfried

14602 Greenhorn Rd.

Grass Valley, CA 95945

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