Name:____________________________________________

Address:__________________________________________

City:______________________ State:_____ Zip:__________

Phone:(_____)____________________

Email address:______________________________________

 

Qty	Item Description	Price	Total
	The Vince Lewis Trio CD	x   $15.00
	Two in the Pocket CD	x   $15.00
	Makin' A Move	x   $10.00
	Vince Lewis Trio/Makin' A Move Package	x   $22.00
	Makin' A Move/Two in the Pocket Package	x   $22.00
		TOTAL
Please send check or money order payable to: Vince Lewis 286 Flatwoods Road Amherst, VA 24521

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