C.D. Order Form

Dulce,  by Julie Goldberg

Please complete the following form. Print and mail with your payment to:

Julie Goldberg

P.O. Box 1933

Evanston, IL 60204

Dulce, by Julie Goldberg      Quantity _______x $12

                                                    Sub-total               $___

                                                    Plus Shipping        $  2

                                                    __________________

                                                    Total                      $

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Ship CD To:

Name:_________________________________

Address:_______________________________

______________________________________

City, State:__________________,________

Email Address:

Thank you for your order.  Your C.D. will arrive within 1 week.

                                                                                Julie