Please fill out the Form so your order can be processed as soon as possible.

ORDER FORM
[ONLY FULLY COMPLETED FORMS WILL BE PROCESSED].
First Name:        Last Name:    

 
Name of Business:    

 
Address:   
 
City:        State:        Zip Code:  

 
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Price per CD

Price per Tape

$4.95

$4.95

**Plus shipping & handling by weight of order**  
(Typically $1.20 for USPS)

 

 

 

Please Send Me The Following Number Of "Angels" CD's

Please Send Me The Following Number Of "Angels" Cassette Tape's

My Preferred Shipping Method Is:
Comments or Questions:

NOTE: Your Total Charge will include a shipping & handling charge determined by weight and shipping method selected, (US Mail being the least expensive and FedEx being the most expensive).

Credit info:

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Exp. Date:

(We only process completed forms! Thank You.)
    

Or... To Place Your Order By Mail....

Make Checks Payable to:
"VIA"
40 Garden Ct.
Ronkonkoma, NY 11779

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