DanaCountryman.com
Mail Order Form
All prices listed in U.S. dollars

To order products you must PRINT out this order form and mail it.
Sorry, NO CREDIT CARD PAYMENTS are accepted for mail order at this time.

ITEM QTY PRICE        
 Back Issue #13 (Alvino Rey)   $5 + $2 shipping = $7.00        
 Back Issue #15 (Julie London)   $5 + $2 shipping = $7.00        
 Back Issue #16 (Spike Jones)   $5 + $2 shipping = $7.00        
 Back Issue #17 (Allan Sherman)   $5 + $2 shipping = $7.00        
 Back Issue #19 (Weird Al Yankovic)   $5 + $2 shipping = $7.00        
 Back Issue #20 (Billy May)   $5 + $2 shipping = $7.00        
 Back Issue #21 (Firesign Theatre)   $5 + $2 shipping = $7.00        
 Back Issue #22 (The Residents)   $5 + $2 shipping = $7.00        
 Back Issue #23 (Mel Blanc)   $5 + $2 shipping = $7.00        
 Back Issue #24 (Wendy Carlos)   $5 + $2 shipping = $7.00        
 Back Issue #25 (Jean Jacques Perrey)   $5 + $2 shipping = $7.00        
 Back Issue #26 (Burt Bacharach)   $5 + $2 shipping = $7.00        
 Back Issue #27 (Les Paul)   $5 + $2 shipping = $7.00        
         
Print out this order form and mail it to:
DANA COUNTRYMAN
1101 Colby Ave.
Everett, WA 98201 - USA
SUBTOTAL:  $         
WA State residents add 8.2% sales tax :  $         
TOTAL :  $         

Name __________________________________________________________

Address ______________________________________ Apt# _______

City/State/Provence______________________ Zip/Postal Code ___________

Country_________________________
E-mail, in case of problem (we don't sell e-mail addresses!)
_________________________________

Make checks and International Money Orders payable to DANA COUNTRYMAN
No Canadian checks not drawn on an American bank, please.
Sorry, NO CREDIT CARD PAYMENTS are accepted for mail order at this time.