Ruby Harris Online Music Order Form
 

Directions: Print the following form, fill it out, and send it in to the following address. Please allow 10 -14 days for delivery. Make checks payable to Ruby Harris. Please make check or money order payable to Ruby Harris, and mail it and a copy of the form below to
Advance Advertising.

 

Please send check or money order to:                    

Advance / Broken Glass Recordings
6645 N. California, Suite 303
Chicago, IL 60645
 
 
Your Information:  

Name: ___________________________________
Address: ___________________________________
City: ___________________________________
State:    ___________________________________
Country: ___________________________________
Phone #: ___________________________________
Order Information:

CD "Almost Home"  _______ copies, $15.00 ea.
CD "T'Natzel Nafshi"         _______  copies, $15.00 ea.
CD "Le'Shem Shamayim"         _______  copies, $15.00 ea.
CD Total $_______
Shipping:

Quantity:  Price: 
1 – 5   $3.00
6 – 10    $10.00
Shipping Total $__________
Grand Total  $ __________