Song of the Month Club Order Form

Contact Information
Song List (pick twelve)
Name
1) Blackberry Blossoms
2) Elzick's Farewell
3) Flop Eared Mule
4) Fly Around My Pretty Little Miss
5) Forked Deer
6) Golden Slippers
7) Hangman's Reel
8) Home Sweet Home
9) John Stenson's #2
10) June Apple
11) LaPartita
12) Liberty
13) Mississippi Sawyer
14) Missouri
15) Nail That Catfish to the Tree
16) North Carolina Breakdown
17) Over the Waterfal
18) Pleasure House Rag
19) Rag Time Annie
20) Rock the Cradle Joe
21) Sadie at the Back Door
22) Sandy Boys
23) Shove the Pigs Foot a Little...
24) Seneca Square Dance
25) Snake River Reek
26) Soldier's Joy
27) St. Ann's Reel
28) Turkey in the Straw
29) Waiting for Nancy
30) Whiskey Before Breakfast
31) Wild Rose of the Mountain
32) Wildwood Flower
33) Yellow Rose of Texas
Phone
Email
Shipping Address
Street
City/State/ Zip
Billing Address(if same as shipping, type same)
Street
City/State/ Zip
Payment Method ($10.00 for the CD plus $2.00 shipping)
Bill me monthly _$12.00 each month (credit cards only)
Bill me one time annually _$144.00
Card Info
Visa Mastercard
Card Number
Exp. Date
Pay by Check(Your order will not be shipped until check is recieved)

I prefer to pay by check one time annually _$144.00

Send Payments to:
Rick Thum
Song of the Month
6710 Twin River Rd.
Eureka, MO 63025

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