SECURE ORDER FORM
To order, fill out the form below
"Harry's Home Made Jam", First Batch
Reduced Prices!
1/20/01
CD
$13.00
Quantity
Cassette
$8.00
Quantity
Shipping fees:
Please add $2.50 to send up to 3 items to one location. For items sent to different locations, please submit a separate order.
Total:
Total owed for all products plus shipping fees.
Shipping Information
Name:
Address:
Address:
City, State, Zip:
Phone:
E-Mail:
Billing Information
Name:
Address:
Address:
City, State, Zip:
Phone:
E-Mail:
Payment Information
Name on Card:
Credit Card:
Select One
Mastercard
VISA
American Express
Card Number:
Exp. Date:
/
Comments:
Thank You !
<<
back home
upcoming events
|
the music
|
concerts
|
school programs
|
kids activities
|
who is harry
|
contact
|
home