Order For 21)

Benny Golbin's

"American in Prague"

"A Summer's End"

CD Order form

Print out a copy of this order form for you own reference as to When you ordered and How much you Paid.

**Please Place Your Order:**
# Items		Item Description	Price per Item (US$) $10.00	Total (US$)

Shipping to U.S.A. Address is $2.50 Shipping to foreign addresses is $3.50 California Residents add .08.25% tax			Sub-total
			Shipping
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Your Name and Shipping Address:
Important: All fields are required or your order won't be submitted.

First Name

Last Name

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Please type in your complete email address like this:
myname@host.com

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Personal check

If you choose to pay by check please print this page, and
send your order form and check via postal mail to this address.

Sherry Kessel
2407 Coldwater Canyon Dr.
Beverly Hills, CA 90210 USA

Credit card

Credit cards for US & International customers can use a new online credit card company called PayPal.Com. As a new customer they give you a $5.00 bonus for registering with them and using your credit card for payment on online purchases. This $5.00 bonus can be used by you even for puchasing this CD.

Please use the link below to go to Paypal.Com. When we receive their confirming Email, we will ship your CD immediately. There is no cost to you as the buyer in using this service, the cost of the service is borne by us. This is a favorite online service used for thousands of auctions on Ebay and is quite reputable.

The only credit cards that can be used are Mastercard and Visa.

Thank you for purchasing this CD!

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