Please PRINT this form and fill in the blank spaces provided.

Please address your Cheque or Money Order to; Jade Morea

When you have filled out this form, please enclose with your payment and send to;

 

Jade Morea

C/- 47 Grigg St. Deloraine TAS 7304.

 

Cheque or Money Order ONLY accepted through Mail Order, Thankyou!

 

 

Name:................................................................................................

 

Phone Number:..................................................................................

 

Mailing Address:.......................................................................................................................................................

 

Special Instructions:...................................................................................................................................................

 

.................................................................................................................................................................................

Rino & Jade Morea

Talk of the Town

Stock No: RJM001

2004         Qty:

Rino & Jade Morea

Cool Change

Stock No: RJM002

2006         Qty:

Rino and Jade Morea

Unforgettable

Stock No: RJM003

2008         Qty:

Thankyou for your order!

CD MAIL ORDER FORM

www.rinoandjade.com

enquiry@rinoandjade.com

 

0409 26 49 72

04

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