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Roberta Fabiano Printable Mail-In Form
Roberta "Bird" Fabiano
email for mailing address
rfabian1@optonline.net

(please contact Roberta "Bird" Fabiano for wholesale inquiries)

Name  
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Street/PO Box:  
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State:  
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Zip:  
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Phone No:  
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Email:  
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Debut Album "11:11" CD #1
$11.00 per CD (plus $2.00 S/H - $1.00 for ea. additional CD - tax included)
Quantity:
____

"It's Duh...Lovely" CD #2
$11.00 per CD (plus $2.00 S/H - $1.00 for ea. additional CD - tax included)
Quantity:
____

"Dogen, Connor & Tupelo" CD #4
$5.00 per CD (plus $2.00 S/H - $1.00 for ea. additional CD - tax included)
Quantity:
____

"Wellsee...An The Gray Clay Stranglers" (1993)" LITHO
$75 each (plus $4.25 S/H - $1.00 for ea. additional LITHO - 8.75% tax for New York state residents)
Quantity:
____

"Bird... In Flight 3" (1993) LITHO
$75 each (plus $4.25 S/H - $1.00 for ea. additional LITHO - 8.75% tax for New York state residents)
Quantity
:____

"Bird Screen" Room Divider
$799.99 (plus shipping and handling)
Quantity
:____

Non-refundable advance payment for commission________

Other (name of artwork or CD not listed above):

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