ORDER FORM

 

  Rob's Web Orders......print it and mail it!

 

 

 

 

Make all checks payable to:      Robert Rarus

 

Send Payment to:                         P.O. Box 490

                                                        Chaplin, CT 06235

 

 

 

Name:

 

Street Address:

City, State and Zip

Telephone:

Email Address:

 

 

 

Prices include shipping, handling in USA & Canada only.

 

Additional shipping rates apply to overseas deliveries (please inquire) .

 

 

 

 

 

Qty

 

CD Title

Unit Price

 

Total Price

 

 

  Block Island Days

 

15.00 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

THANK YOU for your order!