| Please print this form and fill out |
| |
1 Please fill out the
following Information
| Name : |
_________________________________________________ |
| Address : |
_________________________________________________ |
| |
_________________________________________________ |
| Phone : |
( ) __________________ |
| Email : |
________________________ |
|
| |
| 2 Please choose which
products you wish to purchase |
| CD's $15.00ea |
_________ Quantity |
| "Thunderhand
& Guitar" Photo $3.00 |
_________ Quantity |
| "The Band"
Photo $5.00 |
_________ Quantity |
| "Thunderhand
Joe " Photo $3.00 |
_________ Quantity |
|
| |
| 3 Please calculate
shipping (1 to 5 items = $3, 6 to 10 items = $6, etc) |
| Total Amount
Due (Items plus Shipping) |
$ _________ |
|
| |
| 4 Please make checks
payable to Joseph M. Gonzales. Send the check and the form to P.O. Box 6214
Whittier CA 90609 |
| |
| Please allow 2 to 4 weeks for delivery. |