Red Johnson Order Form

    Name: _____________________________

Address: _____________________________
              _____________________________
              _____________________________

   Phone: _____________________________

   E-Mail: _____________________________

Shipment Address if other than above:

    Name: _____________________________

Address: _____________________________
              _____________________________
              _____________________________

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All prices Include Shipping and Handling!

Mail To:
Count Music
Arvid (Red) Johnson
4850 109th Ave.
Champlin, MN 55316

"My Collection"
CD:  Qty:_____  Total @ $17.00 each:      
Cassette:  Qty:_____  Total @ $9.00 each:


$________
$________
"Veteran's Day"
CD:  Qty:_____  Total @ $17.00 each: 
Cassette:  Qty:_____  Total @ $9.00 each:

$________
$________
"An Old Song"
CD:  Qty:_____  Total @ $17.00 each:

$________
"Blue Rose"
CD:  Qty:_____  Total @ $17.00 each:

$________
"Country Gospel"
CD:  Qty:_____  Total @ $17.00 each:
$________
"The Local Entertainer"
CD:  Qty:_____  Total @ $17.00 each: 

$________
"Absolutely  & Always
CD:  Qty:_____  Total @ $17.00 each:

$________
"What A Beautiful World"
CD:  Qty:_____  Total @ $17.00 each
$________
"Yesteryears"
CD:  Qty:_____  Total @ $17.00 each
$________
"Grandma's Angel"
CD:  Qty: ___ Total @ $17.00 each
$________

"Red Johnson Live Video Show"
DVD:  Qty:_____  Total @ $21.00 each:
VHS:  Qty:_____  Total @ $21.00 each: 


$________
$________
T-shirt: Qty: ______   S  -  M  -  L  -   XL  - 2XL
Total @ $15.00 each:

$________

Payment Method:
Check ___      Money Order ___

TOTAL: 
$_________