Susie Hansen

CD Order-Form

Please print and fill out this form. Mail it to the address below with your check.

Name __________________________________________________ Address __________________________________________________ __________________________________________________ City __________________________________________________ State/Province ________________________Zip/Postal Code___________ Country __________________________________________________ Phone (day) _______________________(eve)______________________ Email address __________________________________________________ The price is $15 per CD (any title). "Representante de la Salsa" CD Quantity ______ x $15 Amount $________ "The Salsa Never Ends" CD Quantity ______ x $15 Amount $________ "Solo Flight" CD Quantity ______ x $15 Amount $________ SUBTOTAL $________ Add Sales Tax (for California residents only). Add 8.75% tax (add $1.31 tax per CD). SALES TAX $________ Add Shipping -- For a USA address, add $2.50 per CD. For an international address: Add $5 per CD for Mexico or Canada. ** Add $8 per CD for Europe. ** Add $12 per CD for all other countries. ** [NOTE: To save shipping expenses to Mexico, Canada or Europe, we can ship the CD and the printed inserts WITHOUT the jewel case. Instead of the amounts above, please add $2.50 per CD.] SHIPPING $________ TOTAL $________ Questions? Email us at info@susiehansen.com, or call us at (323) 224-8006. For each different shipping address, please use a separate order form. Want Susie to AUTOGRAPH your CD? Autographed to: ____________________________ Please make checks payable to "Jazz Caliente." Mail check/money order along with the order form to: Jazz Caliente PO Box 42216 Los Angeles CA 90042

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