| Steve Willoughby | ||
| ORDER FORM | ||
| Directions | ||
| 1. Print Order Form. | ||
| 2. Complete Information | ||
| 3. Mail order form with Check | ||
| or Money Order to | ||
| Steve Willoughby Productions | ||
| 1288 Barbara Avenue | ||
| Union, New Jersey 07083 | ||
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First Name: |
______________________________ | |
| Last Name: | ______________________________ | |
| Address: | ______________________________ | |
| Address: | ______________________________ | |
| City: | ______________________________ | |
| State/Province: | ______________________________ | |
| Zip: | ______________________________ | |
| Country: | ______________________________ | |
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Would you like to be on Steve Willoughby's E-mailing list? __ Yes __ No |
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E-Mail: |
____________________________________________ |
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|
"Heart
Songs"
|
CD: ______ x $11.99 = | _______ |
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"For A Song"
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CD: ______ x $11.00 = | _______ |
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"SINCE
YOU’RE GONE"
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Single: ______ x $1.99 = | _______ |
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"Your Undying Fire" |
Single: ______ x $1.99 = | _______ |
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"Forever Strong" |
Single: ______ x $1.99 = | _______ |
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"A Christmas To Remember" |
CD: ______ x $14.50 = | _______ |
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Sheet music is available for
all Steve Willoughby original songs for $3.49 each.
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Sheet Music: ____ x
$3.49 =
|
_______ | |
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"You Create The CD" |
CD: ______ x $12.00 = | _______ |
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Please list 12 songs, in order, from Steve Willoughby that you want on your CD. |
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| SONG 1 : | ________________________ | |
| SONG 2 : | ________________________ | |
| SONG 3 : | ________________________ | |
| SONG 4 : | ________________________ | |
| SONG 5 : | ________________________ | |
| SONG 6 : | ________________________ | |
| SONG 7 : | ________________________ | |
| SONG 8 : | ________________________ | |
| SONG 9 : | ________________________ | |
| SONG 10 : | ________________________ | |
| SONG 11 : | ________________________ | |
| SONG 12 : | ________________________ | |
| ========== | ||
| Total: | ___________ | |
| - All Prices include U.S. Shipping and Postage | ||
| - Please make check or money order payable to | ||
| 'Steve Willoughby Productions' | ||
| - Please allow two weeks for delivery | ||
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