| Quantity | Item No. | Title | Format | Each | TOTAL |
| SAMPLER
RECORDS LTD. PO BOX 19270 ROCHESTER NY
14619 phone: 800-537-2755 or 585-328-5856 fax: 585-328-2010 e-mail: SamplerRec@aol.com
* SALES TAX is due only on shipments to a New York State address. Please calculate appropriate tax on the Sub-total amount. |
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| Name |
| Address |
| City / State / ZIP |
| Charge Card Number [Visa, MasterCard, or Discover] |
| Expiration Date | Signature |