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Please Print Clearly
Name: ____________________________________________________________
Address: __________________________________________________________
City: _____________________________________________________________
State ______ Zip /Postal Code ___________________
Country: _________________________
Fan Club Membership #: _________________________
Personally autographed to: __________________________________________________________
|
| Item | Price |
Fan Club Member Price | Qty | Total |
|---|---|---|---|---|
| LET the MAGIC BEGIN - a personally autographed copy | $24.95 | $21.95 | ________ | _____________ |
| Cathy Lee Crosby's 20 Minute Beautiful Body Workout Video | $21.95 | $19.95 | ________ | _____________ |
| The Golf Gym | $21.95 | $19.95 | ________ | _____________ |
| The Revolutionary H+ Beauty System - 5 product Starter Kit | $119.85 | $111.85 | ________ | _____________ |
| Photos (attach photo sheet) | $23.95 | $21.95 | ________ | _____________ |
|   | CA residents add sales tax 8.25% | _____________ | ||
|   | Shipping & Handling | $ 5.00 | ||
|   | TOTAL | _____________ | ||
Please allow 6 weeks for delivery