Order Form: Dan and Karin Wickman

Thank you for your interest in Dan and Karin Wickman’s music!
Simply fill in this form and print 2 copies from your computer.
Save one copy for your files and send the other form to us along with payment.
Your order will be shipped to you within 5-7 working days form the date it is received.

Send your order to: Dan Wickman, PO Box 1516, Monticello, MN 55362.
To check on the status of your order email us at: orders@danwickman.com

Cassette Price: $13.50 • CD Price: $16.50
(both prices include shipping and handling.)

Your Name:
Mailing Address:
City/State/Zip:
Daytime Phone:
Email Address:
Select items that you would like to purchase
Select Item 1:
Select Item 2:
Select Item 3:
Select Item 4:
Total price of all items ordered:	$
U.S. checks or money orders only, please, payable to Dan Wickman.
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The Wickmans • PO Box 1516 • Monticello, MN 55362 • USA • 763-682-1987