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CUSTOMER INFORMATION

Please fill out and print this form. Mail it with your check or money order to: Carol Montparker @ 103 Huntington Bay Rd Huntington, N.Y., 11743. Please indicate which items (Pianogarden CD, postcards or poster) you are buying, quantity, price, plus shipping costs. [* denotes required fields]


*First name:		*Last name:
*Address:		Address(2):
*City:		*State:
*Zip:		*Telephone:
E-mail:	(Kindly include an email address if you have one)

Anatomy of a New York Debut Recital	$15.00 (plus $4.95 shipping)
Pianogarden I, CD	$15.00 (plus $4.95 shipping)
Pianogarden II, CD	$15.00 (plus $4.95 shipping)
Pianogarden Cards	$15.00 (plus $4.95 shipping)		Set of 10 Cards (5" x 7")
Pianogarden Poster 17" x 22"	$25.00 (plus $4.95 shipping)		(click to enlarge)
Pianofest Northwest Poster (11" x 17")	$25.00 (plus $4.95 shipping)		(click to enlarge)
Chopin Collage Print (11" x 17")	$40.00 (plus $4.95 shipping)		(click to enlarge)
Beethoven Collage Print (11" x 17")	$40.00 (plus $4.95 shipping)		(click to enlarge)
Bach Collage Print (11" x 17")	$40.00 (plus $4.95 shipping)		(click to enlarge)
Brahms Collage Print (11" x 17")	$40.00 (plus $4.95 shipping)		(click to enlarge)
Mozart Collage Print (11" x 17")	$40.00 (plus $4.95 shipping)		(click to enlarge)
Set of all five Composer Collage Prints	$175.00 (plus $4.95 shipping)