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Please print and complete this form, and send it with your payment (Money Order ONLY) to:

Alvin R. Kessinger

749 S. Belleview Place

Indianapolis, IN 46221

Autographed

Book Titles

 

    Purchase:

Last:                First:         MI:   

                    Mr.    Mrs.    Ms.    Dr.    Other ___________

Address:   

City:            ,    State:         Zip Code:   

Phone:            Cell:          [ INCLUDE AREA CODE PLEASE ]

Email:        

Website:    

========================================================================================

* Please check the songs you are interested in purchasing *

 

Comment(s):

 

                                                    

  Unit Total

PRICES:

LOBO - Autographed

 

$15.00

x

 

=  

 

Hard Times Good Times - Autographed

 

$15.00

x

 

=  

 

Flip & Loopy - Autographed

 

$15.00

x

=

 

Shipping & Handling

 

Free

x

 

= $0.00
GRAND TOTAL =

 

 

 

Please print and complete this form, and send it with your payment (Money Order ONLY) to:

Alvin R. Kessinger

749 S. Belleview Place

Indianapolis, IN 46221

 

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