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    ORDER FORM FOR AUSTIN SYMPHONIC BAND MERCHANDISE

 1997 MIDWEST CLINIC CD:        _____  @ $12/each = $ ______

 "COMMUNITY IN CONCERT" T-SHIRTS:
  ___ S  ___ M  ___ L  ___ XL ___ XXL  @ $12/each = $ ______

 "ARTS" POSTER:                 _____  @ $10/each = $ ______

 ADDITIONAL TAX-DEDUCTIBLE CONTRIBUTION             $ ______
 The ASB is a 501-(c)-3 non-profit organization.  All
 contributions will be acknowledged with a letter for tax
 purposes.  Thanks for your consideration!

 SUB-TOTAL:                                         $ ______

 SHIPPING (mailing & packaging costs)               $ ______
   1-2 items:  $3
   3+ items:   $5

 TOTAL                                              $ ______


  SHIP TO:  _________________________________________________

  ADDRESS:  _________________________________________________

            _________________________________________________

  CITY:     ____________________   STATE: ____ ZIP: _________
                                                                               

 We regret that we cannot handle orders from outside the US.

 Mail this form and payment to:

                       Austin Symphonic Band
                       POB 49731
                       Austin, TX 78765

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