Name:________________________________________________________

Address: _____________________________________________________

City: _________________________  State: ___________ Zip: ___________

Email: ________________________________________________________

NEW! Palm of Your Hand CD $15.00	Qty: _______	$________
Through Glasses Darkly CD $15.00	Qty: _______	$________
Order Both CDs $25.00	Sets: _______	$________
SUB TOTALS	Qty: _______	$________
Add Shipping	X $1.50 per CD	$________
TOTAL		$________
Please print this completed order form and send it along with a check or money order for the TOTAL amount above. Make payable to the order of Periferal Vision Music Productions. Send to Periferal Vision Music Productions, 2039 Irene St., Roseville, MN 55113