To Order

Print this page and mail along with payment to:

Ken Bloom

600 West Main Street

Pilot Mt. NC 27041

______ copies of Journey @ $15 each

______ copies of Blooms General Store @ $15 each

 

______ Total number of cds

______  Total amount enclosed

Ship To:

Name:___________________________________

Street:___________________________________

City:_____________________________________

State:____________________________________

Country:_________________________________

Zip:_____________________________________

Add $2 shipping and handling for each cd to be shipped.