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JEFF POCKAT ORDER FORM
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Item
Quantity     Total    
Maple and Brass CD, $15.00 US
Maple and Brass audio cassette, $10.00 US
The Spirit CD, $15.00 US
The Spirit audio cassette, $10.00 US
Christ In Christmas CD, $15.00 US
Christ In Christmas audio cassette, $10.00 US
WI residents add 5% sales tax  
Shipping
--------- ---------
Regular USPS, add $1.00 each CD, cap at $5.00 ---------
Priority $4.00 for one CD ---------
  Add $1.00 for each additional CD - Priority ---------
Canada, Mexico 1 CD or 2 tapes $4.00 ---------
Canada, Mexico more than 1 CD or 2 tapes $7.00 ---------
International 1 CD or 2 tapes $5.00 ---------
International more than 1 CD or 2 tapes $5.00 ---------
TOTAL AMOUNT DUE
Name:
Address to ship to
(include P.O. box #,
apt. #, if any):

City:
State:
Zip:
Country (optional):
Email (optional):
Phone (optional):
Ship to: Jeff Pockat, N1627 Mayflower Dr., Appleton, WI 54913 U.S.A. Make checks/money orders payable to: Jeff Pockat
If you've included a cash payment with your order, please wrap your payment in this form for safe mailing (hide it).

Problems with this page or ordering? Email: clarsachjeff@hotmail.com