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
Quantity
__________
Total Number of CDs Ordered:
Total $
Shipping Charge (refer to table below to calculate):
Grand Total
Domestic US Shipping
1
2
3
4 or more
Quantity
Shipping Charge
$4.00
 4.00
 4.00
 4.00
________
_______________
_______________
_______________
Name
E-mail
Telephone
City, State, Zip
Address
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
Gershwin
Chopin
Sweet LD
Joplin
Old NY
Rhapsody
Ragtime
Infinity
Quantity
__________
Quantity
__________
Quantity
__________
Quantity
__________
Quantity
__________
Quantity
__________
Quantity
__________
* If desired, indicate CD personalization here:
$40
$20
$20
$20
$20
$20
$20
$20
Total before shipping charge: