CD ORDER FORM

 

$20.00 per CD- Includes Free Shipping & Handling

 

                  

Selections

Quantity

Piano Celebration

 
Christmas Favorites  

Ragtime Classics

 

CD & Shipping & Handling

X $20.00 ea

Total Enclosed

 

 

Make checks payable to: Richard Sladek

(Allow 2-3 weeks for delivery)

 

Name:____________________________________________

 

 

Address:___________________________________________

 

City:_____________________State:______Zip____________

 

Telephone # (        )  __________________________________

 

E-Mail: ___________________________________________

 

Mail To:

---------------------------------------------------------------------------------

Richard Sladek

P.O. 5404

River Forest, IL

60305

 (708) 652-5656

WWW.ChicagoPianist.com