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Ambassador Order Form

Jimmy Roberts and the Ambassadors

P.O. Box 545

Chatom, AL 36518

Product----------------------------------------------How Many?

A Tribute To The Journeymen Quartet Cassette------_________

I'm Still Standing Cassette-----------------------_________

Run To The Rock Cassette--------------------------_________

Ambassadors Ink Pen-------------------------------_________

Your E-mail Address__________________________

Name_________________________________________

Home Address__________________________________

__________________________________

Print this out and send it to us, and we'll get your order out to you.

We'll take care of the Shipping and handling

Thanks for your order!!!!!!

Email: ambass@millry.net