==================== HeartSong Music Easy Order Form ====================
SHIPPING ADDRESS
NAME ____________________(last) __________________(first) ___(init.)
ADDRESS 1 __________________________________________________________
ADDRESS 2 __________________________________________________________
CITY __________________________________ STATE ___ ZIP ________-_____
Note: Catalog prices include shipping charges for orders delivered
within the continental US. All others please write, fax or e-mail
for shipping rates.
Qty. Title Format Price Total
____ Keys to the Heart CD 15.95 _____
____ Keys to the Heart CASSETTE 10.95 _____
____ Through the Veils CD 15.95 _____
____ Through the Veils CASSETTE 10.95 _____
Shipping + $2.50 _____
Order Total _____
Make check payable to: Joseph & Unita Akins
Mail to: Joseph & Unita Akins, c/o HeartSong Music, 1741 Marian Lane., Murfreesboro, TN. 37130
_____ Check here if you would like to be placed on our mailing list.
Partial proceeds go to the Alzheimer's Association
Phone: (615) 907-5007 or (615) 473-7127
