
Please send me:
|
( ) CD |
How Many? _____ |
$ 20.00 |
Add $3.00 |
Total: $ __________ |
|
( ) Cassette |
How Many? _____ |
$ 15.00 |
Add $2.00 |
Total: $ __________ |
|
( ) XL T-Shirt |
How Many? _____ |
$20.00 each |
Add $3.00 if outside U.S. |
Total: $ __________ |
|
( ) XXL |
How Many? _____ |
$20.00 each |
Add $3.00 if outside U.S. |
Total: $ __________ |
|
( ) Photo |
How Many? _____ |
$5.00 each |
Add $2.00 if outside U.S. |
Total: $ __________ |
|
|
|
Total Payment Enclosed: $ _______________ |
||
PLEASE PRINT CLEARLY:
|
Name: |
___________________________________ |
|
Address: |
___________________________________ |
|
City: |
___________________________________ |
|
State/Province: |
___________________________________ |
|
Zip/Postal Code: |
___________________________________ |
|
Country: |
___________________________________ |
|
Phone: |
( ) ____________________________ |
|
Fax: |
( ) ____________________________ |
|
E-Mail Address: |
___________________________________ |
Please remember: Checks or money orders must be drawn on a U.S. bank
and must be in U.S. funds. There will be an additional $10.00 charge for any
checks returned by the bank. Checks and money orders should be made payable to:
JOEY DEE INC.
Please allow 4-6 weeks for delivery.
Print out this order form, fill it out clearly and send it along with your payment to:
JOEY DEE INC.
Attn: Doin' The Twist
LEE ENTERTAINMENT ENTERPRISES
P.O. Box 4967
Clearwater, FL 33758-4967
U.S.A.