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MISTER POTTS MAILORDER FORM:
To pay by check or money order, please print out this order form and mail with your payment. If you don't have a printer, please
e-mail us with your address and we'll mail you the form.

ITEM LIST:

DREAMING FOR REAL (CD) _______x $15=____________

Shipping & handling in U.S. (per order) =$3
Shipping overseas is $4.50
California orders: We'll pay the sales tax! TOTAL= $___________

SOLD TO:

Name: _______________________________________________________________

Address: _____________________________________________________________

City/State/Zip: _________________________________________________________

Country: _____________________________________________________________

Email (optional): _______________________________________________________

SHIP TO: (if different):

Name: _______________________________________________________________

Address: _____________________________________________________________

City/State/Zip: _________________________________________________________

Country: _____________________________________________________________

Mail check or money order payable to:

MISTER POTTS
P.O. Box 9124
Calabasas, CA 91372

Questions? Contact us! Tel: (818) 716-6295 • Fax: (818) 716-6296
Thank you for your order!