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GRAHAM'S ORDER FORM

INSTRUCTIONS: Complete the form below, then PRINT THIS PAGE and mail it, along with your check or money order payable to Graham Clarke, to:
Graham Clarke, 43 Butler Hill Rd., Somers, NY 10589

Price ea. Quantity Total
"Five" CD $20 X    =  $
"Acoustic New York" CD $20 X    =  $
"American Blue" cassette $20 X    =  $
"American Blue" CD $20 X    =  $
"Graham and Cinnamon" CD $20 X    =  $
"Graham and Cinnamon" cassette $20 X    =  $
"Graham and Delores" CD $20 X    =  $
Shipping & handling ($1.50 per item)     $
TOTAL     $


SHIP TO:
Name:   
Street address:   
City:    State:    ZIP:   
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