Mail Order Form
For shipments within the USA only.
Please use your browser's PRINT button to print this form.
Ship-to Name:
___________________________________________________________
Address:
________________________________________________________________
City: ______________________________ State: ________ Zip Code: _______________
| Quantity | Item | Price Each | Total Price |
| Tim Gillihan - CD Fowler Ford Road | $9.99 | ||
| Tim Gillihan Guitar Pick | $1.49 | ||
| Tim Gillihan - CD Hold On | $9.99 | ||
| Tim Gillihan - CD Fowler Ford Road AND CD Hold On |
$17.98 | ||
| Autographed Photo | $7.00 | ||
| Not-Autographed Photo | $5.00 | ||
|
Subtotal |
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| For shipments inside Tennessee, please add 9.25% sales tax. (To calculate, multiply the Subtotal by 0.0925.) | |||
| Shipping & Handling. |
$2.00 |
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|
Total Enclosed |
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| Special Instructions (for example, how do you want your photograph autographed? | |||
Please mail with a money order (sorry, no checks) to:
Tim Gillihan
P.O. Box 88
Portland, TN 37148-0088
Thank you!