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____ Compact Disc: $20 CDN
PLACES
____ Compact Disc: $15 CDN
S Y M M E T R Y
____ Compact Disc: $15 CDN
S P I R I T
____ Compact Disc: $15 CDN
G L O R I A
____ Compact Disc: $15 CDN
L E G A C Y
____ Compact Disc: $15 CDN
|
TOTAL
AMOUNT ORDERED:
SHIPPING & HANDLING:
TOTAL:
|
$
_________
$ 7.00 CDN (North America)
$10.00 CDN (Outside N.A.)
$ _________
|
Name: ____________________________________________________
Address:
__________________________________________________
City: _____________________________________________________
Postal Code: ___________
Telephone: ( ) _____________
VISA or Mastercard: ______
Expiry: _____/_____
(month/year)
Signature:___________________________________________