Kathy Bee CD Order Form

This order is for:

SELECT
ITEM
OR ITEMS

KATHY BEE RED HAT SING -A-LONG (CD) Plus "Free" Lyric Book $19.99 (Plus $5.00 shipping and handling)

RED HAT MAMMA (CD) $15.99 (Plus $5.00 shipping and handling)

I'M AN AMERICAN (CD) $15.99 Plus $5.00 shipping and handling)

I'M AN AMERICAN (Cassette) $10.00 (Plus $5.00 shipping and handling)

Name:

Email:

Repeat Email:
.

We will keep your email address confidential and will never sell it or give it away.

Company Name

Mailing Address:

City: State: Zip or Postal Code:
Country if Non-US:

Phone:

Requested, but optional

Home
Work
Fax

Method of Payment:

Make All Checks Payable to
P. R. Productions

Credit Card

INCLUDE CHECK OR MONEY ORDER

For the amount of:

Plus $5.00 Shipping & Handling

For a total of

Total Purchase
Shipping & Handling

TOTAL

CREDIT CARD

PRINT FILLED OUT ORDER FORM

Visa

AMEX

Discover

Money Order

#_________________

Cash

Initial_____________

Amt. $____________

Check “Make Payable to: Kim Foot and Ankle Centers, Inc.

Check #___________________________

Check # ___________________________

Credit Card Number: Expiration Date:

Full Name on Card: Authorized Signature:

Card Holder’s Billing Address:

City: State: Zip:

Phone # of Card Holder:

INCLUDE CHECK OR MONEY ORDER

ALONG WITH THIS (FILLED OUT) FORM, PRINT AND MAIL TO:

P.R. Productions
11255 Woodruff Ave. Unit C
Downey, CA 90241
Phone (562) 803-8835