Coast to Coast Jazz Band - Order Form

1) PRINT THIS FORM

2) SELECT ITEMS:
Item# Description Quantity Price each Ext
C2C100 CD: SHAKE THAT THING   $15.00  
SHIPPING in the USA (add $2 for first CD and 0.50 for each additional CD):  
SUBTOTAL:  
TOTAL:  

3) Make check payable to: "Mike Evans"

4) SHIP TO (please print):
Please give your Name, Address, City, State, Postal Code, Email and Phone:  

5) Send me occasional emails about the Coast to Coast Jazz Band's and related playing schedules: ____ yes / ____ no

6) Mail this form to this addresses:

Coast to Coast Jazz Band
c/o Mike Evans
4136 Caddie Dr E
Bradenton, FL 34203

Please allow 2 weeks for delivery.

THANK YOU!