ORDERING
CD's

Print this form for ordering Compact Discs.
After printing this form, you can return to the prior page by  clicking here.

$15.00 each

plus $3.00 for shipping one CD per address

and $1.00 shipping for each additional sent to the same address.

Ordering Compact Discs

Each   $15.00

Number of CD's desired:

TOTAL FOR CD'S:

____________

____________

Total for shipping:

Total enclosed by money
order or check payable to
"Golden Year Records"

____________


____________


Your Name:

___________________________________________________

Street Address:

___________________________________________________

City, State  Zip:

___________________________________________________

Phone Number:

___________________________________________________

E-Mail:

___________________________________________________
List names and addresses of those whom you want to receive CD's as gifts

Name:

____________________________________________

Address:

____________________________________________

Message:

____________________________________________

Name:

____________________________________________

Address:

____________________________________________

Message:

____________________________________________

Name:

____________________________________________

Address:

____________________________________________

Message:

____________________________________________

Send to: GOLDEN YEAR RECORDS,
7311 Eby # 306,
Shawnee Mission, Kansas  66204-1651