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Jimmy Porter's Order Form

Jimmy Porter
1195 Berwick Road
Hoover, AL 35242
For additional info contact Jimmy at
JPorter9342@charter.net

SHIP TO:

________________________________________________________
________________________________________________________
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"My Life as a Musician" Booklet ($8.00 ech), _________________________
"Jimmy Porter and Southern Touch" CD ($6.00 ech), _________________________
"Jimmy Porter and Southern Touch" Tape ($5.00 ech), _________________________
"Jimmy Porter Interview" VHS ($10.00 ech), _________________________
Total Number of Items _________________________
S&H = $1 per Item
TOTAL (w. S/H) _________________________

Print this form & send with order. Payment in U.S. currency only. Please make money orders or checks payable to:

Jimmy Porter
1195 Berwick Road
Hoover, AL 35242
For additional info contact Jimmy at
JPorter9342@charter.net

Please allow up to 4 weeks for delivery.


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