Simplicity Records Order Form

If you wish to order any of our products, simply fill out the
following order form and we'll be happy to fill your order.

Prices are $13.00 for CD including,

FREE SHIPPING!

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You can pay by credit card or if you wish you can mail a check to:

Simplicity Records
1014 E. Elmwood Av
Burbank, CA. 91501
(818) 355-8008
or print this form and fax to (413) 643-0387

 

Please provide the following ordering information:

QTY DESCRIPTION
Dream Sketches by Dan & Chuck Jacobs
 CD
Future Memories by Dan & Chuck Jacobs
 CD
Dancer In the Sand by Craig Luis Ferreira
 CD
The Music of Andrew Lloyd Webber by David Raintree
 CD
More Music of Andrew Lloyd Webber by David Raintree
 CD
  The Music of George Gershwin by David Raintree
  CD     SOLD OUT
A Tribute to Henry Mancini by David Raintree
 CD
Centerstage (the best of the previous four albums)
 CD
Together for Christmas by David Raintree
 CD
It's A Wonderful Christmas by David Raintree
 CD
Piano Country by Edgar Struble
 CD
Romantique by Phillip Keveren
 CD
Reminiscence by Phillip Keveren
 CD
Renaissance by Phillip Keveren
 CD
Reflections by Phillip Keveren
 CD
Quiet Time Piano by Dick Bolks
 CD
  PianoMusic for the Care of the Soul by Jan Sanborn
 CD  SOLD OUT
The Way We Were by Paul Fried
 CD
Can You Feel the Love Tonight by Paul Fried
 CD
Afternoon Delight by Paul Fried
 CD

How you wish us to bill you :
Credit card
Cardholder name
Card number
Expiration date
Address where you receive your credit card bill:
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

 

Please provide the following contact information,
this is the address you would wish us to ship the product:
 (omit if same as above)

First name
Last name
Middle initial
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
URL

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