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R/R/R FAMILY CD ORDER FORM

Please print this form and send it in with your order. Right click and choose print.


NAME_____________________________________________________________________
STREET ADDRESS__________________________________________________________
CITY______________________________ STATE _____ ZIP _______________________
PHONE:_________________________    FAX_______________________________
(Please Type of Print)

Please fill in all blanks that apply to you:

How Many CD's__________
Ship to if address is different from above.
NAME _______________________________________________________________________
STREET ADDRESS ____________________________________________________________
CITY _________________________________STATE _______ ZIP _____________________

Cost per CD $ 52.50
Shipping $ 4.25
Total per CD $ 56.75
Maryland Residents only add sales tax $2.63
Total cost for Maryland Residents $59.38
For more than one CD to same address, add $1.25 for each additional CD for shipping, and $2.63 sales tax if Maryland Residents for each additional CD.

PLEASE DO NOT ORDER BEFORE JUNE 1, 2002. CD's WILL NOT BE READY BEFORE THEN.

Method of payment (circle one)    Check    Money Order    Total payment enclosed. $______________

Make checks payable to William G Robey and mail order and payment to:

William G Robey   
1005 Elkhart Street   
Oxon Hill, Maryland, 20745

Allow about 2 weeks for delivery.  Sorry, but I cannot accept credit cards.
Checks or Money Orders only.