How to Build a Portative Organ

                                Order Form



     Book "How to Build a Portative Organ"   
                             Price: $20 US     _________

      Video CD "Construction and Assembly"
                             Price: $20 US     _________


                 $5 US shipping & handling     ___$5.00_


                            Total enclosed     _________

     Please note: Cheque or money order MUST be in US dollars
                  drawn off a US bank and made payable to the
                  order of Heather Gray!


     ship to:

               name  _________________________________

            address  _________________________________

                     _________________________________

                     _________________________________

            country  ________________________



                                Send your order to:

                                Heather Gray
                                38 Barnes Road, Apt. B
                                Shelburne Falls, MA 01370
                                U.S.A.


     If you want me to send you e-mail confirmation of when your
     order ships, please include your e-mail address, here:


         e-mail:  _________________________________________

     I won't send you unsolicited commercial e-mail and I won't
     sell your address to anyone else.  I HATE SPAM!