Listen To The Children Order Form


Listen To The Children is a compilation of Maine Artists celebrating the lives of children. All proceeds of this project benefit The Jason Program, a non- profit organization that provides community support to critically ill and dying children throughout Maine. 

ORDERED BY: ____________________________________________________________________

SHIPPED TO: ____________________________________________________________________ 

NAME: __________________________________________________________________________
STREET: _________________________________________        APT NO:________________
CITY:__________________________   STATE: ________	 ZIP CODE: _____________


NUMBER OF COPIES REQUESTED: ____________ 
MESSAGE (IF ANY):


CHARGES:
$15/ per CD plus shipping and handling: 
SHIPPING CHARGES: $2.45 for one CD and an additional $1.13 for each additional CD ordered.  

PLEASE Mail your order form, including full payment to: 

The Jason Program
P.O. Box 336 
Cumberland, Maine 04021 
(207 829-3537)
keastman@maine.rr.com
www.jasonprogram.org

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