Graceworks Music Snail Mail Purchase Order Form

For those of you who would like to purchase but not use a credit card online, just print out this form, fill it out and send it to me with your payment.

Please send me the following:

Title                        CD or T             Qty         $each      $Cost

____________________________ /_____ x  $______ =  $__________

____________________________ /_____ x  $______ =  $__________

____________________________ /_____ x  $______ =  $__________

____________________________ /_____ x  $______ =  $__________

____________________________ /_____ x  $______ =  $__________

                                                 plus  Shipping    $2.75

                                 TOTAL ENCLOSED $____________

Name ___________________________________________

Address __________________________________________

City:___________________ State: ______ Zip:___________

Phone:______________  E-mail: ______________________

Mail to:

Graceworks Music    PO Box 288    Barrington     RI    02806

Please allow 2 weeks delivery from the time we receive your order