How To Order CD's
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                                              How To Order CD's 


1. Please print out this order form first.

2. Write down your selections.

3. Please send a check or money order.  (All amounts payable in U.S. Funds only)


The Minimum order is $30.00....U.S.A.    $80.00....Foreign  (Can be combined with other products)
 

CD Number

TITLE

PRICE
    $
    $
    $
    $
    $
    $
    $
    $
 

                                                                                 Sub Total

 $
 

                                                               Shipping (see below)

 $
 

 6% Sales Tax on Merchandise & Shipping (PA residents only)

 $
 

                                                                                        Total

 $

SHIPPING  INFORMATION

 Name_________________________________________
Street Address__________________________________
City______________________________State_________
Zip Code_______________________________________
Phone Number__________________________________
E-Mail Address__________________________________
 

Shipping Rates
 
Up to 9  CDs:     $7.95

10 to 20  CD's:   $11.95  

Cost for shipping rates by Air Mail for orders shipped outside the U.S.
(We will let you know what the cost is by e-mail)
 

Contact Information

Mel Keiser
Philadelphia  Juke Box  Company               
P.O. Box 372  
Littlestown,  PA  17340
U.S.A.   

E-mail:    philajukebox45s@comcast.net    

Phone:  717-337-0475    
  

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