Print this form and fill it out. Stephen Lopez “You Raise Me Up” CD Order Form Make your check or money order payable to Sam Lopez, and send it to: Sam Lopez 21 Plantation Oaks Edinburg, TX 78539 United States Stephen Lopez “You Raise Me Up”   **********************   $10.00 Stephen Lopez “You Raise Me Up”   Special Signed Edition   ****   $15.00 Shipping and Handling   *******************************   $ 4.00                                                            Enter your total here    $__________ Your Shipping Address: Name: _______________________________________________________ Street: ________________________________________________________ City: ____________________________________ State: _______________ Zip Code: ________________________________