(printable)

CD Order Form

Title of CD (a)

Number of CDs required

Unit Price (c)

Total for each item

Sub-total for CDs _______________

Total for this order _______________ Date of this order __________________

Ohio/County Tax ^(d) _______________

Your Name ___________________________________________________________

Shipping Street ____________________________________________________

Address:

City ______________________________________________________

State _____________________________________________________

Zip Code _______________________________

Telephone Number __________________________________

e-mail address _____________________________________

Make checks payable to: R.E. Harrington

Mail your order to: R.E. Harrington, 9517 Mt. Vernon Landing, Alexandria, VA 22309

(a) (a) Please use the Title from the table of available CDs found on the website at: http://freepages.history.rootsweb.com/~harringtonfamilies/CD-Status.htm ^(b). You can also e-mail R.E. Harrington. The e-mail address is available on the above website.

(b) (b) Note: The Internet address above may not be a clickable link from this order form. Copy and paste the blue address above into your Internet address line and click Go.

(c) (c) Price includes shipping and handling

(d) (d) Ohio residents please add $0.70 for each CD for State and County taxes. CDs cannot be shipped unless payment is received in full.

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