Derryl Perry Official Merchandise Order Form
Print this form, fill out your order, enclose check or money
order for total amount made payable to Derryl Perry, then send to:
Derryl Perry.Com
c/o Music City Records
2603 Westwood Drive
Nashville, TN 37204
|
Item |
Quantity |
Price (includes s/h) |
Subtotal |
|
Lucky THIRTEEN CD |
$17.00 |
||
|
ALL JUST TO GET TO YOU CD |
$17.00 |
||
|
Derryl Perry ROAD TRIP CD |
$12.00 |
||
|
Derryl Perry Self Titled CD |
$12.00 |
||
|
Autographed 8X10 Color Photo |
$5.00 |
||
|
Autographed B&W 8X10 Photo |
$3.00 |
||
|
Derryl Perry Promotional Poster |
$10.00 |
||
|
Total Enclosed |
|||
|
Tennessee residents add 9.75% sales tax |
|||
Please ship my order to: (please print clearly)
Name ______________________________________________________
Address ____________________________________________________
City________________________________________________________
State __________________ Zip Code___________________________
Autograph Items To: __________________________________________________________________
Thank you. Your order will be shipped as quickly as possible. Please allow up to 4 weeks for processing.
Be sure to enclose your check or money order with this order form, never send cash through the mail.