Home Address: (Please print) Name____________________________________________________________ Address:__________________________________________________________ City:________________________________State________ZIP______________ Phone: ___________________________________________________________ E-mail:____________________________________________________________

Mail to: Old Songs, Inc. PO Box 466 Voorheesville, NY 12186-0466

OLD SONGS RECORDINGS • ORDER FORM A benefit for Old Songs, Inc. Postage is included in donation amount.
CDs			quantity and donation amt.		Total Price
____The Visitors ____2002 Festival CD ____Live From the Dutch Barn ____1990 10th Anniversary Festival CD			___ CD/s @ $18 ___ CD/s @ $15 ___ CD/s @ $15 ___ CD/s @ $15		$_____.00 $_____.00 $_____.00 $_____.00
DVDs
____Festival 1981 & 1983 ____Festival 1984 & 1985 ____Festival 1986 & 1987			___ DVD/s @ $15 ___ DVD/s @ $15 ___ DVD/s @ $15		$_____.00 $_____.00 $_____.00
Clothing
____Fleece Jacket     ___M  ___L   ___XL   ___XXL  ___ XXXL			___Jacket/s @ %40		$_____.00
TOTAL					$_____.00

Enclose check or money order made out to Old Songs, Inc. or supply credit card information below.
Enclose a self-addressed stamped envelope with your order.

CREDIT CARD INFORMATION:     Mastercard____   VISA____

Card No:   __  __  __  __     __  __  __  __     __  __  __  __     __  __  __  __             Exp Date:  ____/____

Cardholder's Signature