The Vocal Group Hall of
Fame |
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Merchandise Order Form |
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| Columbia Theatre 82 West State Street ~ Sharon, PA 16146 ~ (724) 983-2025 ~ (724) 983-0446 Fax | ||||||||
| Date: | ||||||||
| Name: | ||||||||
| Address: | ||||||||
| City: | State: | Zip: | ||||||
| Phone: | , | |||||||
| E-Mail: | ||||||||
| Item | Price Per Unit | X | Number | = | Total | |||
| Gold Membership | $ 100.00 | X | = | |||||
| 2001, 2002, 2003 & 2004 Media Products, Membership Card | ||||||||
| Item | Price Per Unit | X | Number | = | Total | |||
| Silver Membership | $ 50.00 | X | = | |||||
| Choice Of One Media Product (2001, 2002, 2003, Or 2004) Membership Card (Circle Choice) | ||||||||
| Item | Price Per Unit | X | Number | = | Total | |||
| Bronze Membership | $ 25.00 | X | = | |||||
| T-Shirt & Member Card | ||||||||
| Item | Price Per Unit | X | Number | = | Total | |||
| 2001 DVD | $ 20.00 | X | = | |||||
| 2002 DVD & CD | $ 20.00 | X | = | |||||
| 2003 DVD & CD | $ 20.00 | X | = | |||||
| 2004 DVD & CD | $ 20.00 | X | = | |||||
| Columbia Arm Rest | $ 25.00 | X | = | |||||
| American Singing Groups $ 20.00 X = | ||||||||
Sub Total |
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| Shipping (For Total Order) | $ 5.00 | |||||||
| Order Total | ||||||||
| Payment Method | Number | Expiration | ||||||
| Check/Money Order | ||||||||
| Visa | ||||||||
| Master Card | ||||||||
| Discover | ||||||||
| Please Make Checks/Money Orders Payable To: | ||||||||
| The Vocal Group Hall of Fame Foundation | ||||||||
| Payment Can Be Mailed To The Above Address | ||||||||