Red Johnson Order Form

"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: 		"You Lived Your Life For Me"
CD:  Qty:_____  Total @ $17.00 each
$________
"Yesteryears"
CD:  Qty:_____  Total @ $17.00 each: 		"Grandma's Angel"
CD:  Qty: ___ Total @ $17.00 each		 $________
"The Old Man At A Table"
CD:  Qty:_____  Total @ $17.00 each: 		"Red Johnson with his Texas Show Band" Live Video Show
DVD:  Qty:_____  Total @ $22.00 each
$________
"Red Johnson Live Video Show"
DVD:  Qty:_____  Total @ $21.00 each:
VHS:  Qty:_____  Total @ $21.00 each: 		 Payment Method:
Check ___      Money Order ___
 

 

 All prices Include Shipping and Handling! TOTAL: 
$_________

 Name: _____________________________

Address: _____________________________
              _____________________________
              _____________________________

Phone: _____________________________

E-Mail: _____________________________

Shipment Address if other than above:

    Name: _____________________________

Address: _____________________________
              _____________________________
              _____________________________

 

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