INTERNET ORDER FORM

Karen Leslie Hall - Hollywood Movies and Fairytales


Order Information:

Please send me _____ copies of Hollywood Movies and Fairytales by Karen Leslie
Hall (cassette SDM-992-4).

I would like to donate $______ to The Hunger Project (please give a minimum of $5.00 per cassette, and add $2.00 each to cover shipping and handling).

____ Charge my credit card (details below).

____ Cheque or money order enclosed (payable to The Hunger Project).

____ I would like a receipt for tax purposes (minimum $25 donation).


Ship To:

Name:      __________________________________________________________________

Street: __________________________________________________________________

City: _______________________ Province/State: _______________________

Country: _______________________ Postal/Zip Code: _______________________

Telephone: _______________________ E-Mail Address: _______________________


Credit Card Information:

Name on Card: _______________________________________________________________

Card Number: _______________________________________________________________

Expiry Date: _________________ Visa ___ Master Card ___ American Express ___

Signature: ___________________________________ Date: ____________________


Seadance Music
P.O. Box 184, 36 Adelaide Street East, Toronto, Ontario M5C 2J1 CANADA
Telephone: (416) 690-3504 Fax: (416) 694-0239