A ORDER BLANK VV Cat 48-1093 - Expires JANUARY 31, OUR MARK OF QUAU^ NAME: (Shipping to i diilerent addreH, write that name and addreaa balowj ADDRESS: five street address also) - if address has changed - please give old address below HOW MANY? ITEM NO. Q MY ORDER TOTALS $2O 00 OR MORE - INCLUDE MY FREE GIFT! ALL PRICES INCLUDE SHIPPING AND TAX! FREE SHIPPING! On orders of |lO 00 or more NO EXTRA HIDDEN CHARGES! SHIPPING TO A DIFFERENT ADDRESS (Use only if Ship To is different than above) SHIP TO: ADDRESS: CITY/ST; Send Invoice to Customer above IF YOU HAVE MOVED OR IF YOUR ADDRESS HAS CHANGED: Please give us your OLD ADDRESS here; Old Address; City/St: Zip: CHECK MONEY ORDER VISA MASTERCARD CASH (NOT RECOMMENDED) Signature C4A-12M AHWCO NAME OF ITEM PREFERRED CUSTOMER DISCOUNT COUPONS - ATTACHED or to Ship To CARD NUMBER EXPIRATION DATE 11/94/99 ,994 h TO Andj H Weaver 16891 Farmington Road West Farmington OH 44491 Phones: (216) 548-8799 & 548-2231 cuitomN- Nurabcr - TOLL FREE ORDER LINES: if known (Front Cover) 1-800-882-8799 or 1-800-768-5518 CUS# STATE: Harmonica Order* Nameplates (if any) Total On order* of leu than $lO.OO, add $2.00 Handling Charge TOTAL ENCLOSED (NEEDED FOR CHARGE CARD ORDERS ONLY) Page 16 s