CD Order Form

Fill out this page on your computer then choose your browser's Print Page option from the file menu to print this form.
Mail completed order form with check or money order to:
Bill Durham
231 Court St.
Clarksdale,MS 38614
MAKE CHECKS PAYABLE TO: Bill Durham
Name:
Address:
City: State: 
Zip Code:   Phone: 
E-mail address:
Item
Quantity
Cost
Each
Total


Bill Durham - I've Got The Song (CD)

$12.00


Bill Durham - My Kind Of Music (CD)

$12.00

All orders are shipped via US Postal Service

SHIPPING

 

 $3.00

 

Total

I am making payment by check or money order, enclosed:

Would you like your order shipped to address above?  If not fill in an alternate address below.

NAME:_________________________________

ADDRESS:_____________________________

City:___________________________________

State:_______________ ZIPCODE___________ 

Thank you for your order!  Please allow up to 3-4 weeks for delivery.

    2004-2007