Name:  _______________________________________

Street Address:  _______________________________

City:   ________________________________________

Province/State:   _______  Postal Code:   __________

Country:   _____________________________________

Phone Number:   _______________________________

E-mail Address:   _______________________________

Item	Price/Unit	Quantity	Cost
Latkes	$12 each **
The Roses on Annie's Table	$20 each ($15 for each additional copy)
The Indispensible Stringband	$35
Gabriola V0R 1X0	$20
Old Folksinger's Pick (2 CDs)	$20
Sulphur Passage Video	$10
Settling Clayquot	$20
Fancy Postage:
Total Amount:

** In Canada: $12 , including mailing; $10 
for additional copies to the same address.
**   In the US: $15 , including mailing; $12
for additional copies to the same address.

Any additional comments?

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________

Please make your cheque payable to Bob Bossin and mail with this form to:

Bob Bossin,
2455 Islandsview Drive,
Gabriola Island, BC,
Canada
V0R 1X7.
Thank you!

Return to The Store

   *Are there other people we should contact? Please let us know.