Lois Young Order Form
Please allow 1 week for delivery.
Click HERE to print this form as a PDF file (better printing but requires free Adobe reader).

Print out this form and Send to:
Return Address:

YOUNG SONGS ENTERTAINMENT
127 TYRE AVE.,

NEWARK,DE 19711

name: __________________________________

address: _________________________________

address 2: ________________________________

city, state, zip: ____________________________
Item
Price
Quantity
Price
Jelly Bean Soup
cassette: $10.00
__________
$ ________
CD: $15.00
__________
$ ________
Dinosaur Diner
cassette: $10.00
__________
$ ________
CD: $15.00
__________
$ ________
Pancake Party
cassette: $10.00
__________
$ ________
CD: $15.00
__________
$ ________
Total Without Shipping & Handling
$ ________*
Shipping & Handling*
under $30.00
+$3.00
$30 to 60
+$5.00
over $60
+$7.00
+$ ________
Grand Total
$ ________
Thank You!