Name
______________________________________
Street ________________________________________________
City/State/Zip ___________________________________
Day
phone (____)________________________________
Second
phone (_____)_____________________________
Email
_________________________________________
Please enclose a self-address stamped business sized envelope
EVERYPLAY Subscription _______ @ $135.00 =
_______
Thurs/Sun
FIVE PLAY Sub _______@ $ 60.00 = _______
that Includes
Playing Our Song _______@
$ 63.00 =________
Fri/Sat
FIVE PLAY Sub _______@ $ 67.50 = ________
that includes Playing Our Song _______@ $
70.50 = ________