To pay with a check or money order, please print and fill out this form.

_________________________________________________________
Name

_________________________________________________________
Address

_________________________________________________________
Address

_________________________________________________________
City / State / Zip

_________________________________________________________
Email Address (include for email confirmation of your order)

_____ Check here if you wish to be added to the mailing list.

#_________ Moonglow CD : $15 ($13 CD + $2 S&H)
For orders of 5 or more, CD's are $12 each ($10 CD + $2 S&H)

$_________ Total Enclosed

Please send order form and check or money order to:

Millicent Wood
PO Box 1032
San Leandro, CA 94577

If you have any questions, please email sales@millicentwood.com.

Please allow 1-2 weeks for delivery.

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