PL "Gathered In Song" Order Form

Print this form and send it, along with payment to:

Pilgrim Lodge: CD order
103 Pilgrim Lodge Lane
West Gardiner, ME  04345

Name _________________________

Address _______________________

City __________________________

State ___  Zip ____________

email address __________________
(we will email you notice of any delays)

Gathered In Song: $15. + $2. shipping and handling = $17. per disc

PLEASE SEND ME:

___ copies "Gathered In Song" X $17.  ____

                                      TOTAL   $_______

Please include check or money order.  DO NOT MAIL CASH.  Credit Cards are not accepted at this time. All proceeds will benefit the ministry of Pilgrim Lodge.