| Order Form |
For Mail Order Print this page and send it along with a Check or Money Order to:
Private-Journey
1625 Howard Rd.
P.O. Box 204
Madera CA, 93637-5178
Billing Address:
Full Name_______________________________________________________________
Address Line 1 ___________________________________________________________
Address Line 2 ___________________________________________________________
City ________________________________________State________Zip_____________
Contact Phone___________________________________Best Time to call____________
Email Address____________________________________________________________
Shipping Address: (If different than billing address)
Full Name_______________________________________________________________
Address Line 1 ___________________________________________________________
Address Line 2 ___________________________________________________________
City ________________________________________State________Zip_____________
Contact Phone___________________________________Best Time to call____________
Email Address____________________________________________________________
| Item |
|
|
|
| Album: Gina Lenee' From the Heart |
Unit Price |
$18.00 |
________ |
| |
Subtotal |
Subtotal |
________ |
| California residents add 7.50% sales tax to subtotal |
Sales Tax |
7.5 CA |
________ |
| |
Shipping |
$2.50 |
|
| |
Total |
Total |
________ |
| "Thank you from the Heart, Gina Lenee'" |
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