email:   samplesings@gmail.com

      ORDER FORM

"
From My Own Little Corner"

compact disk:   $14.00 ea
shipping USPS:    2.00 ea                     Quantity: _______
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BY MAIL:   Make check payable to    Sue Sample

     Mail to:          Sue Sample
                           3126 Blue Ridge Ct NE
                           Cedar Rapids, IA 52402

SHIP TO ADDRESS:
Name: _________________________________________________
Street: _________________________________________________
Town: __________________________ State: _____ Zip: ________
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ONLINE:  (Paypal only)
                    Email the following info to: 
samplesings@gmail.com

     Paypal user ID (email address): __________________________
     Quantity: ______

You will then receive an invoice via your Paypal account.
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      Thank you, and hope you enjoy it.
           Sue                                      www.suesample.com