ORDER FORM (Please print and mail)

Name :
Phone:
Address:
Email:
City/State/Zip:


 
 
# of copies
 
 
amount
 
 
...and the Parking Spots Are Nothing But the Best @ $15.00
  (booklet included)
 
 
  ______
 
$________
 
"Gift Set" of 2 CD's @$25.00, including
...and the Parking Spots Are Nothing But the Best
and IN MOTION, The DIA Singers' first CD
  (booklet included with each CD)
 
 
  ______
 
$________
 
Postage and handling @ $4.00 per order (for mailing only)
 
 
 
 
 
$________
 
TOTAL:   
 
 
 
$________
 


Make check payable to DIA. Please write "DIA Singers CD" in memo.

Mail to:
Mel Tanzman
3422 Fenimore Ave.
Mohegan Lake, NY 10547

Questions?
Visit www.disabledinaction.org