EUGENE LOWRY ORDER FORM

Last Name:                                                         First Name:                                                 

Address:                                                                                                                                 

City:                                                      State:                         Zip Code:                              

Home Phone:                          ______________

Title Price Qty Subtotal
Jazz and Christianity $16.00 X ___ $                     
Theology of the Blues $16.00 X ___ $                     
The Sound of Good News $16.00 X ___ $                     
Inside Out Music for Steeple and Street $16.00 X ___ $                     

==========

TOTAL DUE:  $                     
Price includes tax, shipping and handling.
We accept Checks or Money Orders –
Please make payable to Dr. Eugene Lowry

Mail order to
:
Dr. EUGENE LOWRY
719 West 100th Court
Kansas City, MO  64114