To order, please print this page and mail completed form along with check or money order to:

Charlie Peterson
7133 Hamor Lane
Springfield, VA 22153

 

Name ______________________________________

Street ______________________________________

City ________________________________ State ______________ Zip ___________

Country _____________________________

Title

Description

Cost

     
     
     
     
     
     
     
     
 

Cost of items

 
 

Plus shipping & handling*

 

Total

 

* Shipping fees:
$5 for orders up to $30
$9 for orders of $30.01 to $60
$12 for orders of $60.01 to $90
$15 for orders of $90.01 to $120
$18 for orders over $120

add $4 for international shipping

Thank you very much for your interest in my music!

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