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Print this Order Form , fill it out, mail it in.

Please Print in Big Block Letters!!

No Hieroglyphics please!!!

Name________________________________________________

Street Address_________________________________________

State____________________________Zip__________________

Phone Number_________________________________________

Email_________________________________________________

I keep a mailing list to keep in touch with fans, listeners, and friends.  I do not share my mailing list with others.  I hate junk mail too.

Quantity	Price includes shipping and tax	Total
	x $16	=  $

Please make out your check or money order to "Dale Ness"

Mail it to me at: 

Dale Ness

P.O. Box 1491

Broomfield CO 80038-1491

Thank  You  !!!!

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