| All compact discs are $15 each plus applicable shipping charges. To pay by check, print a copy of this page and fill out by hand. Mail this form with your check payable to RICHARD DOWLING. |
| CHECK ORDER FORM |
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| Quantity Ordered |
| _______________ |
| Quantity Ordered |
| _______________ |
| Quantity Ordered |
| _______________ |
| Total Number of CDs Ordered: |
| @ $15 each |
| Total $ |
| Shipping Charge (refer to table below to calculate): |
| Grand Total |
| Shipping Information |
| 1 2 3 4 or more |
| Quantity |
| Shipping Charge |
| $2.00 2.00 2.50 Add 0.50 each |
| ________ |
| _______________ |
| _______________ |
| _______________ |
| Name |
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| Telephone |
| City, State, Zip |
| Address |
| Quantity Ordered |
| _______________ |
| Mail this order form and make check payable to: |
| RICHARD DOWLING 261 West 71 Street #3 New York, NY 10023-3743 |
| Thank you for your order! |
| Would you like your CDs autographed? Circle one: YES NO |
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| Ragtime |
| Gershwin |
| Chopin Vol 2 |
| Chopin Vol 1 |
| Cello & Piano |
| Quantity Ordered |
| _______________ |