Stompy Jones

Please print and use this form...

Yes. I want a CD! I am enclosing USD 17.00 in check or money order 
(which is USD 15.00 and USD 2.00 for shipping and handling) for each CD.
Please make check out to: Jewel Records

Name ___________________________________________________________

Address__________________________________________________________

City_____________________________________________________________

State____________________________ Zip Code_________________________

CD-"The Swing Session"  Quantity____

CD-"Whispering Grass"    Quantity____

CD-"Stompy Jones"         Quantity____

***********************************

Optional:

Email address: _____________________________________________________

Phone Number:____________________________________________________

Please allow 2-4 weeks for delivery.

Mail completed form with your check or money order to:

Jewel Records
16 Blossom Drive
San Rafael, CA. 94901