For Good Music
We're a little old
fashioned.
Please print this page out and send your check for the total amount (see below)
to
Suzanne Sherman Propp *
7 Ambler Road *
Westport, CT 06880
or e-mail suzanne@proppmail.com
Checks or cash made
out to Suzanne Sherman Propp,
please.
NAME: ___________________________________________________________________
Years at Camp Pembroke (if applicable): _______________________________________
Address: __________________________________________________________________
_________________________________________________________________________
State, City, Zip, Country: ___________________________________________________
Phone number: ___________________________________________________________
E-Mail Address: __________________________________________________________
| Order Form | ||||
| Item Number | Item Name | Quantity | Price per CD | SubTotal |
| fgm 1 | $20.00 | |||
| fgm 2 | Suzanne Sherman Propp: "Am I Ready?" | $14.99 | ||
| TOTAL: | ||||
|
A portion of the sale of each CD will go directly to one of the following organizations: |
|
| please check one: | |
| OR YOUR CHOICE (please specify) ____________________________ | |