Bill Floyd's CD Order Form

Step 1:

Complete the form below and PRINT.

OR


Print form and fill out with pen.   (Please print.)


Step 2:

Mail form with check for TOTAL AMOUNT below. (Tax and shipping are included.) Make check payable to Bill Floyd.

Bill Floyd
P. O. Box 961
Ruskin, FL 33575

Today's Date
Lookin' Back CDs
Quantity x $10 = $
Living a Rerun CDs
Quantity x $10 = $
Vintage CDs
Quantity x $10 = $
Bill & Harold Floyd Live CDs
Quantity x $10 = $
Total Amount
$
(Tax/Shipping are included.)
Your Name
Street Address
City
State
Zip Code
Home Phone Number
Work Phone Number
E-mail Address
How did you hear about us?

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McKee Consulting
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