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JUKEBOX REFUGEE ORDER FORM
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| To obtain a copy of Rick
Harris' cd Jukebox Refugee, which includes the song, "Legal
Medicine Blues", use the form below. |
| Mail to:
Jukebox Refugee cd
Rick Harris
708 S. Grand Avenue
Waukesha WI 53186
Please send me ______
copies of Jukebox Refugee. Enclose a check or money order for $12 per
copy, which includes shipping.
Name:_______________________________________________________
Street Address_________________________________________________
City/State/Zip_________________________________________________
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| Updated
Tuesday, April 19, 2005
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