| Mail order form for Kate Bennett's CD |
| Over the Moon |
| Name |
______________________________ |
| Street Address |
______________________________ |
| City |
______________________________ |
| State |
____________ |
|
| Zip |
____________ |
|
| ___________________________________________ |
| Quantity |
______ |
|
|
x $15.00 |
|
| Subtotal |
______ |
|
| Shipping |
$ 2.00 |
|
| Total |
______ |
|
|
 |
| ____________________________________________ |
| Print this form and send with a Check or money order to: |
| Kate Bennett |
| PO Box 698 |
| Santa Ynez, CA 93460 |
|