Ruby Harris Online Music Order Form

 

Directions: Print the following form, fill it out, and send it in to the following address. Please allow 10 -14 days for delivery. Make checks payable to Ruby Harris. Please make check or money order payable to Ruby Harris, and mail it and a copy of the form below to
Advance Advertising.

 

Please send check or money order to:                    

Advance / Broken Glass Recordings
6645 N. California, Suite 303
Chicago, IL 60645

 
 
Your Information:  

Name: ___________________________________

Address: ___________________________________

City: ___________________________________

State:    ___________________________________

Country: ___________________________________

Phone #: ___________________________________

Order Information:

CD "Almost Home"  _______ copies, $15.00 ea.

CD "T'Natzel Nafshi"         _______  copies, $15.00 ea.

CD "Le'Shem Shamayim"         _______  copies, $15.00 ea.

CD Total $_______

Shipping:

Quantity:  Price: 
1 5   $3.00
6 10    $10.00

Shipping Total $__________

Grand Total  $ __________