Order CD - To supplement and print once filled

 

THE LONE STAR RADIO SHOW - A Thousand Miles From Jackson -

Quantity Unit Price Subtotal Euros

Shipping Euros

TOTAL Euros

 

Name

 

First Name

 

Street

 

Postal N° Town Country

 

Phone email

 

Mode of Payment : Per Check in order of Pierre Calame

To Join to your Order Form and to Turn over to:

Pierre CALAME

26 Route d'Echallens

CH 1376 GOUMOËNS-LA-VILLE / Switzerland

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