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PLEASE PRINT, FILL OUT AND SEND WITH A CHECK PAYABLE TO:

Mr. Billy 1123 Meadow View Lane De Pere WI 54115

____________________________________________________________________________________

Six Leg Songs Order

 

Name ______________________________________________________________

Business/organization  ______________________________________________________________

Mailing address ______________________________________________________________

City ___________________________State _________  Zip ___________________________________

Phone number ______________________________________________________________

Email address ______________________________________________________________

Would you like to be added to Mr. Billy's email list? __________

Each copy of Six Leg Songs $15

QTY = __________ + $3 Shipping = __________ GRAND TOTAL $__________

Please make checks out to Mr. Billy and send to:

Mr. Billy - SIX LEG SONGS
1123 Meadow View Lane
De Pere WI 54115

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