To order, print this form, fill in the information, and mail with check or money order,
in U.S. FUNDS, to:

Corley Roberts
P.O. Box 120483
Nashville, TN 37121
USA

NAME ________________________________________________________________

ADDRESS______________________________________________________________

ADDRESS______________________________________________________________

CITY ________________________________ STATE __________ ZIP __________

COUNTRY________________________

 "Me" the Debut CD        @ $15.00 each  Quantity______     Total_________
 New York State Residents
 Add $1.40 Tax for each CD				 NYS TAX _________


 Limited Edition...
 "Be Still" CD Single     @  $5.00 each  Quantity______     Total_________ 
 KidMusicMed Theme Song
 New York State Residents
 Add $0.60 Tax for each CD				 NYS TAX _________

Shipping and Handling                                        S&H   2.50    
(S&H $2.50)
 

                                                      GRAND TOTAL_________      

Make check or money order, in U.S. FUNDS ONLY, payable to Corley Roberts.
NOTE: Money orders shipped within 1 week, checks 2-3 weeks.