Heart Wise Gems a music CD for sale featuring Stephanie Kern

.....Print & Complete and this Form. Mail it with your payment to receive your order.

Heart Wise Gems CDs are $18.00. Additional CDs (on the same order) are $16.00 each. Includes: Priority shipping in the USA

Quantity: Please send _____ CD(s)

SubTotal: $ _______

California Resident's add 7.75% State Sales Tax.

Shipping Information:

Name: _________________________________

Address: ______________________________________________________

City: __________________________________ State/Province: ______________

Country: _______________________________ Zip/Postal Code: ____________

Phone: _____________________________

E-Mail: _______________________________

Your Total Payment Amount $_____________ Add Me To Your Mailing List; (yes, no)

Additional Comments:

Money Orders, Bank and Imprinted Personal Checks Accepted.
Make Checks Payable To:	Stephanie Kern	Mail Payment To:	Heart Wise Gems P.O. Box 35 Joshua Tree, CA 92252

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