| Quantity | Title | Price Ea. | Amount |
|---|---|---|---|
| _____ | The Missing You Waltz | @ $15.00 = | $_____.___ |
| _____ | Renters from #@#*! | @ $15.00 = | $_____.___ |
| _____ | The Best Things In Life Are For Rent | @ $15.00 = | $_____.___ |
| Shipping & Handling | $3.00 | $ 3.00 | |
| Total enclosed: | $_____.___ | ||
| Ship to: ____________________________ ____________________________ ____________________________ ____________________________ | Enclose check or M.O. (US Funds) and mail to:
| ||