Order Form for
Harry Smothers/Moss Bliss Products

QuantityTitlePrice Ea.Total Item
________I'll Build A Stairway to Parodies/Good Taste (Book) $6.00$
________Needs Salt (Book)$6.00$
________1998: A Lyrical Retrospective (Book)$8.00$
________Raven and Crow (CD)$13.00$
________Harry Smothers: All Over the Place (tape)$8.00$
Total$

Name:__________________________________________________________________

Address:________________________________________________________________

City, St, ZIP:______________________________________

Phone:________________ e-mail:____________________

Print this page out, fill in the blanks, and mail to:
Moss Bliss
67 Overbrood Road, Apt. 2
Asheville, NC 28805

Postage to US addresses is included; postage to other addresses is extra.