Music Order Form

Number of CDs:
( @ $10.00 each)

Please enter your name and address :

                 SHIPPING  INFORMATION 
 
  Name            
  Street address  
  Address (cont.) 
  City            
  Province/State  
  Postal code     
  E-mail          
  Phone # (opt)   
 

Number of CDs:
( @ $10.00 each)

Number of CDs:
( @ $10.00 each)



     CDs ordered         
     CD Sub Total       $         
     Shipping Amount    $   ($3.00 / Item)
     TOTAL =            $
 

Number of CDs:
( @ $10.00 each)

To place an order, fill out this form with your name and address, and when completed, press the PRINT tab. This will print an order page. Mail this page with a cheque or money order for the amount displayed in the TOTAL box above, to:
Prairie Spirit
Christ Lutheran Church
4825 Dewdney Avenue
Regina,Sask.
S4T 1B7