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Print this
form. Then,
fill out the form to order your Diane Renay
CD and Photo(s). Allow 4 to 6 weeks for delivery. "Autograph to"
MUST be entered.
Autograph on CD is optional. Please
make check or money order for Diane Renay (IN U.S. DOLLARS ONLY)
payable to "Renee Eagan" and mail to: 5854 Corazon Drive - Las Vegas, NV 89103 |
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(Check box for Photo Ordered) |
Autograph to: |
(required) |
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Photo 1 q |
$15.00
(U.S.
Dollars) includes S&H |
Total: $15.00 |
|
|
$18.00 (U.S.
Dollars) includes S&H Outside U.S. & Canada |
Total: $18.00 |
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Name: _____________________________ |
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| Photo 2 q |
$15.00
(U.S.
Dollars) includes S&H U.S. & Canada |
Total: $15.00 |
|
|
$18.00 (U.S.
Dollars) includes S&H Outside U.S. & Canada |
Total: $18.00 |
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Name: _____________________________ |
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| Photo 3 q |
$15.00
(U.S.
Dollars) includes S&H U.S. & Canada |
Total: $15.00 |
|
|
$18.00 (U.S.
Dollars) includes S&H Outside U.S. & Canada |
Total: $18.00 |
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Name: _____________________________ |
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|
(Check box to order CD) |
Autograph to: |
(optional) | |
|
Double CD q |
$ 15.00 (U.S. Dollars) per CD - includes S&H anywhere in the world. |
Total: $15.00 |
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Name: _____________________________ |
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Enter Total Amount for items ordered ----Total = |
$ ___________ |
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First Name: ___________________ |
Last Name: _____________________ |
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Phone: |
_______________ |
Email:_________________________ |
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Submit e-mail address if any to be contacted if necessary. |
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Address: ________________________ |
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City: ____________________________ |
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State:___________________________ |
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Zip: _______________ |
Country: _____________ |
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