My name.... is ___________________________________
My address is ___________________________________
My telephone number is ___________________________

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I would like to order____________"Winds of Change CD"..........@$14.98= $____________
I would like to order ____________"Yoga Rocking CD"..............@$14.98= $____________
I would like to order __________ "Kirtan Hari Nam CD"...........@$14.98= $____________
I would like to order ___________ "Maui Time Cassette" ...........@$ 9.98= $____________
I would like to order ______________ "Maui Time CD"............@$14.98= $____________
_ I would like to order _____________ "Maui Time T-Shirt" ....@$15.98= $____________ ___________________________________....Plus $ 2.00 shipping= $____________

_______________________________________________..Total= $____________

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My Type of payment is _________________________
My Credit Card # .....is _________________________
My Expiration Date .is _________________________

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I have a message for you,
________________________________________________________________________________________
________________________________________________________________________________________
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Signed ___________________________ Date ____________________
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