Bob Hirsch "Live at the Temple"

Bob Hirsch "Return to the Temple"

 

CDs:  $16.00 Tapes: $12.00

  Please Print

Name:______________________________________

Address:____________________________________

______________________________________

____Enclosed is my check for $16.00 for "Live at the Temple" CD

____Enclosed is my check for $12.00 for "Live at the Temple" Tape 

_____Enclosed is my check for $16.00 for "Return to the Temple" CD

_____Enclosed is my check for $12.00 for "Return to the Temple" Tape

_____Enclosed is my check for $32.00 for both CDs

_____Enclosed is my check for $24.00 for both Tapes

Print this form and mail to: 

ARTT  220 S. Main Viroqua, WI 54665

  

Signed___________________________Date________