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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 ]
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* Please check the songs you are interested in purchasing *
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PRICES:
LOBO - Autographed
$15.00
x
Hard Times Good Times - Autographed
Flip & Loopy - Autographed
Shipping & Handling
Free
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