Date of Order ___________________ Person Ordering: _______________________________________ Address _____________________________________________ City ___________________ State _________ ZIP __________ Phone ( _____ ) ____________ Fax ( ____) ________________ Fiddlers Dream T-Shirts - Sizes Available: Large [ ] ($ 15.00) X-Large [ ] ($ 15.00) XX-Large [ ] ($16.00) Total Item Price* $ __________ Quantity Ordered ______ Fiddlers Dream Coffee Mugs - $ 15.00 Each Emerald Green [ ] Cobalt Blue [ ] Clear [ ] Total Item Price* $ __________ Quantity Ordered ______ Concert for Peace - October 20, 2007 One CD - produced by Ravenpheat Recording [ ] ($ 10.00) Multiple CD's shipped to one address [ ] ($ 8.00) Total Item Price* $ __________ Quantity Ordered ______
* Arizona Residents add 8.0 % Sales Tax