Please print this form, fill it out and mail it to:

Kurt Walter
1511 N.E. 39th Street
Pompano Beach, FL 33064
U.S.A. 

Make check or money order payable to: Kurt Walter
 
Mailing Address:

Your Name: ___________________________________________________

Street: _____________________________________________ Apt: ______

City: _________________________________________ State: __________

Country:_____________________________________Zip: ______________

Phone _____________________________________

Number of CD(s) ____

IF YOU LIVE WITHIN THE CONTINENTAL UNITED STATES:
Amount Enclosed: $__________ ($14.95 per CD. Includes shipping and handling.)
 
ALL FOREIGN AND OVERSEAS ORDERS:
Amount Enclosed: $__________ ($17.95 per CD* Includes shipping and handling.)
 
Order will be shipped as soon as your check clears. Money orders ship right away.
*All foreign payments must be in U.S.D. currency.

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