ORDER FORM

Please send me:

(  ) CD

How Many? _____

$ 20.00
each

Add $3.00
if outside U.S.

Total: $ __________

(   ) Cassette

How Many? _____

$ 15.00
each

Add $2.00
if outside U.S.

Total: $ __________

(   ) XL T-Shirt

How Many? _____

$20.00 each

Add $3.00 if outside U.S.

Total: $ __________

(   ) XXL
T-Shirt

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.