A Song for Val - Benefit CD for Valerie Lopez-Robinson

To place an order, please print out the form, and mail with your check or money order to the address below.  
CD's are $8.00 each and profits go to the Valerie Lopez-Robinson Fund.  
Please make checks payable to Valerie Lopez-Robinson Fund.  Thank you for your support.

Mail to:

Valerie Lopez-Robinson Fund
PO Box 1451
White Plains, MD  20695 

Number of CD's Ordered: __________

Name: _________________________

Address: _______________________

______________________________

______________________________

Phone: ________________________

Email: _________________________

Would you like to be placed on the mailing list to know when there are updates about Valerie on her website?

YES _____  NO _____

Your CD will be mailed out promptly.