( Hit your "print" button and print out this form )
                

              Order Form for the Tom Anthony "Hold Me - Thrill Me" CD


Ship to:  Name__________________________________________
          
          Address_______________________________________

          City__________________________________________

          State______

          ZIP____________

                    
               Please enclose a check made out to Tom Anthony for $20.00
               ( CD= $18.00 + $2.00 Shipping and Handling )

               Mail this form, and your check to:

               TOM ANTHONY PRODUCTIONS
               5869 UNGER CT
               THE VILLAGES, FL 32163-0445