Roy Rubin and His Super Stars

CD Order Form

Enter the quantity of Compact Discs you wish to order, then click "Calculate Totals."
When you are ready to submit your order, use your browser's print function to print this form,
then mail it with your check or money order payable to Roy J. Rubin to the address shown below.

Qty Description Price Total
Compact Disc #1 $5.00 $
Compact Disc #2 $10.00 $
Shipping per order $6.00 $
Send your check or money order for:  $

Name:   Street Address 1:
 
    Street Address 2:
   
City:   State:
 
Zip Code or Country Code:   Country:
 
Day Phone:   Night Phone:
 
E-Mail Address:    
   

Mail Check or Money Order payable to Roy J. Rubin and completed order form to:

Roy J. Rubin
1714 Moravia Street
New Castle, PA 16101-5807

If you have any questions, please call:

Roy or Rosalie at (724) 652-0331

            or

Email for Order Information

Thank you for your order, enjoy our music.


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