Don Collier

AUTOGRAPHED CD

 

MAIL ORDER FORM

PLEASE make your check or money order payable to
OUT WEST ENTERTAINMENT

U.S. Dollars Only Please Allow 4 Weeks for delivery

 

 $15.00 for CD with a personalized autograph from Don Collier

Shipping & Handling is $3.50 per CD within the U.S.
$5.00 outside the U.S.

DON COLLIER AUTOGRAPHED CD ORDER FORM
QUANTITY PRICE INSCRIPTION (please print)
  $15.00  
  $15.00  
  $15.00  
  $15.00  

Shipping =

  

TOTAL=

  

PLEASE PRINT THE FOLLOWING INFORMATION

NAME:

  

ADDRESS:

  

 

DAYTIME PHONE:
(This will be kept confidential, but is required in case we have to contact you about your order)

  

E-Mail:

  

PLEASE PRINT AND MAIL THIS FORM TO:

Out West Entertainment
79301 Country Club Drive
Suite 100
Bermuda Dunes, CA  92203

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