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MAIL ORDER FORM

Simon Townshend Music CD's

www.simontownshend.com
Product ID Description Unit
Price 		X Qnty = item
total cost
STIR10106 simontownshendis $12.00 X   =  
STIR10105 Ages $ 6.00 X   =  
STIR10104 Bare Bodies Bare Assets $12.00 X   =  
STIR10103 Animal Soup $12.00 X   =  
STIR002 Among Us $12.00 X   =  
 
order subtotal =  
Shipping Options: (per SHIPMENT reguardless of number of discs purchased)
United States: $2.50 USD
Canada: $3.00 USD
All Other Countries: $5.00 USD		 enter shipping option
and add to the
above subtotal		 +  
Please include your mailing address here:





 GRAND TOTAL =  

Print, complete and mail this form with payment of check or money order to:
Stir Music, Inc.
4 Jangling Plain Rd.
Newtown, CT 06470

Problems, questions or comments please e-mail:StirMusic@aol.com
10-2005