FORUM RECORDS

BILL SCHERECK'S "A Texas State of Mind"

PLEASE PRINT THIS FORM

Name: ___________________________________________________________________
Company: ___________________________________________________________________
Mailing Address:
___________________________________________________________________
Phone: ___________________________________________________________________
Email Address: ___________________________________________________________________

# OF ALBUMS
price per
price
________
x $12.50 each
=
_____________
SHIPPING/HANDLING:
________
x $2.50 each
=
_____________
TOTAL:
_____________

Payment can be made by check or money order, and must accompany your order.



MAIL COMPLETED FORM WITH PAYMENT TO:
Forum Records
• 4157 Herschel Avenue • Dallas, TX 75219

Questions? Contact Bill Schereck at 214.522.4225 or by email BillSchereck@gmail.com


Thank you for listening!