NAME: _____________________________________________________
ADDRESS:___________________________________________________
CITY:_______________________ STATE:__________
ZIP:___________
DATE OF BIRTH:_____________________ (Used for
demographic information)
"Mississippi Man" EP single. limited edition: ____@$5.00 each =$_______
| More Hit CD's from the Chris Aaron Band
"Get Off" Compact disk: ______@ $15 each= $________
|
| Subtotal | $______________ |
| WI. residents add 5% sales tax | $______________ |
| Postage and handling $2 per item U.S. currency | $______________ |
| TOTAL ENCLOSED | $______________ |
| Outside of the U.S. and Canada please e-mail lls911@ameritech.net | Canadian residents add $3.00 postage U.S.,
$2.00 U.S. currenecy for CD and $1.00 U.S. currency for each addition item ordered. |
|
L. Singleton PO Box 14664 Milwaukee, WI 53214 |
| Print and use this mail order form or simply hand print your order and mail your payment to address listed above. |
© 1999 L.Singleton Management, All rights reserved.