Lois Young Order Form
Please allow 1 week for delivery.
Click HERE to print this form as a PDF file (better printing but requires free Adobe reader).

Print out this form and Send to:		Return Address:
YOUNG SONGS ENTERTAINMENT 127 TYRE AVE., NEWARK,DE 19711		name: __________________________________ address: _________________________________ address 2: ________________________________ city, state, zip: ____________________________
Item	Price	Quantity	Price
	cassette: $10.00	__________	$ ________
	CD: $15.00	__________	$ ________
	cassette: $10.00	__________	$ ________
	CD: $15.00	__________	$ ________
	cassette: $10.00	__________	$ ________
	CD: $15.00	__________	$ ________
Total Without Shipping & Handling			$ ________*
Shipping & Handling* under $30.00 +$3.00 $30 to 60 +$5.00 over $60 +$7.00			+$ ________
Grand Total			$ ________
Thank You!