TB001.01 Curtis Bay "Genuine Low" Order Form

Please print and return this form to the address at the end.


Name ____________________________________________________________

Address  ________________________________________________________

City  __________________  State  ____  Zip _______  Country _____

Phone __________________  email address : _______________________

Fax ____________________

[__] $8 ppd in US or $9 ppd Int'l.

[__] Number of CDs requested ______.

[__] My total amount enclosed is $______.

[__] Highly concealed cash, money order or check enclosed payable to Kimberly L. King.


OUTSIDE THE U.S.A.? Please make your payment in U.S. Dollars by:

Check drawn on a US bank--Int'l Postal Money Order

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PLEASE PRINT OUT AND RETURN THIS FORM TO:

TongueBath 
PO Box 30755
Oakland, CA 94604  USA
EMAIL: kimgerly@holonet.net
TEL/FAX: +1-510-251-8255