printable mail-in order form
Please mail to Bev Grant,
172 5th Avenue. PMB#32, Brooklyn, NY 11217-3504
Name: ________________________
Street: ____________________________________
City: __________________ State/Province: _______ Zip/Postal Code: __________
Country: _____________________
Email: ______________________ Phone: _________________
Join emailing list? Y / N
Ship to: (If different from above)
Name: ___________________________________
Street: ____________________________________
City: __________________ State/Province: _______ Zip/Postal Code: __________
Country: _____________________
| Item: | Quantity: | Cost: |
| Human Condition with Bev Grant: Working People Gonna Rise CD | ________ X $15.00 | $ |
| Brooklyn Women's Chorus: The Power of Song CD | ________ X $15.00 | $ |
| The Women Are Coming CD Single | ________ X $5.00 | $ |
| We Were There CD | ________ X $15.00 | $ |
| We Were There Cassette | ________ X $10.00 | $ |
| We Were There Songbook | ________ X $5.00 | $ |
| We Were There T-Shirt (Specify Size!) | ________ X $15.00 | $ |
| In Tune CD | ________ X $15.00 | $ |
| In Tune Cassette | ________ X $10.00 | $ |
| Kulonyaka CD | ________ X $15.00 | |
| Kulonyaka Vinyl Album | ________ X $15.00 | |
|
Shipping and Handling $3.00 first item, $1.00 each
additional :
|
$ | |
|
Subtotal:
|
$ | |
|
Total:
|
$ |
Please print, fill in
form, and mail with payment to:
Bev Grant
172 5th Avenue. PMB#32
Brooklyn, NY 11217-3504