Printable Order Form

Indicate how many of each item you wish to order.  Add up the total amount of your purchases and enter it below in the box provided.  Please figure in the $2.50 shipping and handling charge when adding up the total amount to send.  Fill in your name and address below and mail this entire order form to us, along with your check or money order.  Thank you!

All CDs $15.00 each
All Cassettes $10.00 each
Special Combo Pack 1 CD + 1 Cassette $20.00 (please specify on order form)

Please print.  Check or money order.  No C.O.D.'s please.
Allow 2-3 weeks delivery but most orders are shipped immediately.

Ship To: Name:_____________________________________________

Address:________________________________________

City:___________________________  State:_____

Zip:_________________  Phone:______________

Product

Cassette / CD

Qty.

Price

      $                    
      $
      $
      $
      $
Sub Total $
Ohio Residents add 6% Sales Tax $
$2.50 Shipping & Handling $
Total Amount Enclosed $
Master Card & Visa Accepted

Card No.:_____________________________
Expiration Date:______________________
Signature:___________________________

Please send all orders to:

Undivided * P.O. Box 272 * Commercial Point, Ohio 43116
For booking or contact information:
Michael France 817-417-8839 or Cari Phillips 614-539-1708 
E-mail: UNDIVIDED96@AOL.COM