Seagull Songs - Ebb and Flow ORDER FORM ============================================================================= Please print all information: Name_________________________________________________________________________ Address_________________________________________________________Apt__________ City___________________________State_________Zip/Postal Code_________________ Country______________________Phone___________________________________________ Email (for order status notification)________________________________________ Order information (FREE Standard Shipping & Handling): Quantity ________ at $12.95 per CD = Total________________ 1-5 Quantity ________ at $10.95 per CD = Total________________ 6+ Priority Shipping (optional, $2.95 per CD) ________________ Payment Information: [] Check or Money Order please enclose payment, made payable to: Rick Wilson (For credit card orders, please use our secure online payment option) Mail this completed form along with payment to: ----------------------------------------------------------- Rick Wilson PO Box 4132 Wichita, KS 67204 Every effort is made to fill orders immediately, but please allow 4-6 weeks for delivery.