[please print or type] Name: _________________________________________________ Address: _______________________________________________ Address: _______________________________________________ City: ___________________________________________________ State - ZIP: ______________________________________________ Country: _____________________ Order Date: ________________ Phone: _____________________ E-Mail: ______________________ CDs Ordered: ____________ Total Enclosed: __________

Cost per CD: $7.00 Includes free 1st Class shipping to USA (Overseas shipping $5.00 per unit)

Please PRINT this form. Mail this order form and your check payable to "Gary Moncur" to: Gary Moncur 303rdBG.com 4483 Palmer Drive WVC, UT 84120-5052 If you have questions about your order, contact me at: glm@303rdbg.com