CD ORDER FORM

NAME: ________________________________

ADDRESS: __________________________________________
___________________________________________________
___________________________________________________

TELEPHONE: __________________

FAX: __________________

EMAIL: ___________________

YOUR ORDER

____ copies of "Greggorian Chance" ($20)
____ copies of "Wicked Little Buzz" ($20)
____ copies of "Something Beautiful" ($20)

$ _____ TOTAL

- The price of $20 CDN per CD includes all applicable taxes, postage & handling.
- Please make cheque payable to Gregg Lawless.
- Specify if you would like your CD(s) autographed.

Send this form to:

Grafton Music
99 Hogarth Ave.
Toronto, ON
CANADA
M4K 1K5

or fax it to (416) 778-5129

Thank you!