A facsimile order form

 

 

For enquiries ring TIM: 9437-1209

To: Tim Barna Band  CD/s

Fax number: 94658619

Date  …./…./2008

Regarding: Order for The Living Vine –CD  number required ___

                                       Straight from the HEART  ___

Comments:  (please place here - your contact details)

                 Name:  …………………

                 Address ………………..

                 Phone ………………..   mobile………….

                 Cheque / money order amount  ………… sent by mail

Cost-  Each CD charge is $20 and includes postage (free postage in Australia)