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PLEASE PRINT, FILL OUT AND SEND WITH A CHECK PAYABLE TO:

Mr. Billy 1110 Terry Lane #12 De Pere WI 54115

____________________________________________________________________________________

Rock and Roll All Night- Summer Reading CD Order

 

Name ______________________________________________________________

Business/organization  ______________________________________________________________

Mailing address ______________________________________________________________

City _________________________ State________________  Zip _______________________

Phone number ______________________________________________________________

Email address ______________________________________________________________

Would you like to be added to Mr. Billy's email list? _________

Your first copy of Rockin' All Over the World is only $15.97 ______

Each additional copy of Rockin" All Over the World is just $4.97, how additional many copies would you like? __________

GRAND TOTAL $__________

Please make checks out to Mr. Billy and send to:

Mr. Billy - Summer CD Offer
1110 Terry Lane #12
De Pere WI 54115

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