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Sound Mind Theater Order Form

To order, please print out and postal mail this form along with your check or money order to:

Sound Mind Theater, 104 Ashford Place, LaGrange, GA 30240

Name ________________________________________
Address ________________________________________
City ____________________ ST ____ Zip _________
Country ________________________________________
Phone________________________________________
E-mail________________________________________

QTY. ITEMPRICETOTAL
____Antietam: The Lost Command CD$15.99$______
____Curse of Dracula CD$11.99$______
____ Curse of Dracula Cassette9.95$______
____ U.S. Shipping3.00$______
____ Foreign Shipping6.00$______
SUB TOTAL$______
Ga. Residents add 5% tax$______
GRAND TOTAL$______

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