To order, please print this page and mail completed form along with check or money order to:

Charlie Peterson
7133 Hamor Lane
Springfield, VA 22153

 

Name ______________________________________

Street ______________________________________

City ________________________________ State ______________ Zip ___________

Country _____________________________

Title

Description

Cost

     
     
     
     
     
     
     
     
 

Cost of items

 
 

Plus shipping & handling*

 

Total

 

Thank you very much for your interest in our music!

* Shipping & Handling fees:
$6 for orders up to $30
$10 for orders of $30.01 to $60
$13 for orders of $60.01 to $90
$16 for orders of $90.01 to $120
$19 for orders over $120

add $3 for shipping to Canada

International Shipping & Handling Fees*:
$11 for orders up to $30
$16 for orders of $30.01 to $60
$19 for orders of $60.01 to $90
$23 for orders of $90.01 to $120
$27 for orders over $120
*subject to change depending on the country