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 |