Mail In Order Form
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Name: _________________________________ 

Address: _______________________________

______________________________________

______________________________________

______________________________________

Phone: ________________________________

Print out this form and send in with
your check or money order to: 

Melvin Brown
8709 Colonial Dr.
Austin, Texas 78758

For questions about your order:
call: 512-339-9030 or
email: melvin@MovinMelvin.com

Product Description Item
Price 

Quantity 
Ordered
Total 
(Price x qty ordered)
Change This World Cassette
(Inspirational Songs)
$15.00 _________ $_____________
Just For Fun CD
(Du-Wop style with tap & great oldies)
$20.00 _________ $_____________
A Man, A Magic, A Music CD
2 CD set
$40.00 _________ $_____________
All of Me CD $20.00 _________ $_____________
Tap Into Health I with Movin' Melvin
(Exercise and Health Video)
$40.00 _________ $_____________
Tap Into Health II with Movin' Melvin
(Exercise and Health Video)
$40.00 _________ $_____________
The Best of Movin' Melvin
(Video)
$40.00 _________ $_____________
Please add $5.00 shipping & handling to the US or $10 for International shipping & handling. Total Order:
(Add total of all
items ordered)
$_____________ 

Send this form and your 
check or money order 
for this amount to the 
address above.

Sale of these items helps support the Change This World Project.

Thank you for your order and for supporting this project.

"The world will change and become a better place, 
when I change and become a better person."

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