Print this form & mail with payment
Date __________
| Outside CA: | 1 - CD $60.00 + S/H = Total $65.00 | |
| CA Residents: | 1 - CD $60.00 + S/H + CA Tax = Total $69.35 |
Please send me ___________ CD(s).
Total amount enclosed: $ __________________
Make Certified Check or Money Order payable to THOMAS R. JENKINS
Please note that each CD is customized with the owner’s name.
Please indicate the name you wish on the CD: ___________________________________
Name _____________________________________________________________________
Street _____________________________________________________________________
City _________________________________ State _______ Zip ______________________
Daytime Phone ( ____ ) _____ - _______ E-Mail: ___________________________________
| Send order form & payment to: | |
| Thomas R. Jenkins | |
| 216 F Street Suite 6 | |
| Davis, CA 95616 | |
WE CANNOT ACCEPT ANY RETURNS OF CDs THAT HAVE BEEN OPENED