To Order Your Numbered/Autographed Collectors Edition of

 “Are The Stars Out Tonight?”
 

 To Order by Phone Please Call: (213) 385-5009
 

Please Print This Page and Send a Check or Credit Card Information With This Form To:   
 

                                                                                        Margaret Burk

                                                    860 Fifth Avenue

                                                Los Angeles, CA 90005
 

Your Shipping Address (Please Print Clearly):

Name:                                                                        Credit Card #                                                                  

Address :                                                                  Expiration Date:                                                              

City Sate, Zip :                                                            Cardholders Name:                                                         
 

                                                                                                                         Check One - Visa:           Master Card:           

Qty:            . at  $45.00 each=               .                                                            

(Price Includes Tax, Shipping & Handling)
 

Autograph To:                                                                          Autograph To:                                                                   

Autograph To:                                                                          Autograph To:                                                                    
 

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