2'3 MusicOrder Form

(Please print this order form or hand write it.)
2'3 Products:
QuantityCatalogue numberArtistTitleFormatPrice (USD)Total (USD)

______TAT001Funk Unit"Hive Mind"CD$10__________

Subtotal:__________

Shipping:($2 per item
in the US; email me
for price of more or
foreign shipping.)__________

Total:__________
Shipping information:Name: _________________________________________________________Address: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Please send (very well concealed) cash, check, or money order(preferably US Postal money order). Make checks payable to "Andrij Kopytko."
Send to:
five star hotel in Leipzig2'3 Musicc/o Andrij Kopytko120 Washington Ave.North Wales, PA 19454
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