Jana Jae Fan Club:  Order Form

Date: 
 

____________
Fan Club Membership _____New _____Renewal @ $10.00 yr. $__________
     
ALBUMS, CASSETTES, CD:
"By Request" _____Album _____Cassette @ $10.00 ea. ppd $__________
_____CD @ $15.00 ea. ppd $__________
"Symphony Pops" _____Album _____Cassette @ $10.00 ea. ppd $__________
"The Devil You Say" _____Album _____Cassette @ $10.00 ea. ppd $__________
_____CD @ $15.00 ea. ppd $__________
"Don't Rock the Bow" _____Album _____Cassette @ $10.00 ea. ppd $__________
"I Love Fiddlin'" _____Album _____Cassette @ $10.00 ea. ppd $__________
"Jana Jae Live" _____Album _____Cassette @ $10.00 ea. ppd $__________
_____CD @ $15.00 ea. ppd $__________
        
VIDEOS:
"On the Road With Jana Jae" _____No. @ $20.00 ea. ppd $__________
_____ 2 or more @ $15.00 ea. ppd $__________
"Fiddlestix" _____ No. @ $10.00 ea. ppd $__________
American Heritage Music Festival (2 Video set)
(includes Grand Lake National Fiddle Fest 2001)
_____ No. of sets @ $20.00 + $2.00
postage/handling
$__________

MUSIC BOOKS:
"You'll Love Fiddlin' Vol. I" with CD _____ No. @ $19.95 ea. ppd $__________
"You'll Love Fiddlin' Vol. I" with Cassette _____ No. @  $19.95 ea. ppd $__________
"You'll Love Fiddlin' Vol. II" with CD _____ No. @  $19.95 ea. ppd $__________
"You'll Love Fiddlin' Vol. II" with Cassette _____ No. @  $19.95 ea. ppd $__________
           
 FAN CLUB PICTURES:
"Squash Blossoms" 8x10 Color _____ No.   @ $3.00 ea. ppd $__________
"Full Length" 8x10 B/W _____ No.   @ $2.00 ea. ppd $__________
"Full Face" 8x10 B/W _____ No.   @ $2.00 ea. ppd $__________
Postcard B/W _____ No.   @ $1.00 ea. ppd $__________
Postcard Color _____ No.   @ $1.00 ea. ppd $__________
           
MISCELLANEOUS:
Jana Jae T-shirt _____ No. @ $10.00 ea. ppd $__________
Jana Jae Denim Cap _____ No. @ $10.00 ea. ppd $__________
American Heritage Music Festival T-shirt  _____ White w/color @ $15.00 ea. ppd $__________
_____Black w/white @ $15.00 ea. ppd $__________
Blue Fiddle Pin _____ No.   @ $3.00 ea. ppd $__________
   
PAYMENT:

Check: ____   Money Order:____   Visa:____   Master Card:____
TOTAL ENCLOSED: $__________


Name on Card:____________________________________________________________ 


Card No._________________________________________________________________   Exp. Date:__________

Signature (credit card only):____________________________________________________________________
 
SHIP TO:           MAIL THIS FORM WITH PAYMENT TO:

Name:
________________________________________________        Jana Jae Fan Club

Address:
________________________________________________        P.O. Box 35726

City:
__________________________________________ State: __________ Zip: __________        Tulsa, OK 74153

Phone:
__________________________________________ (for questions with your order)
Office Use:  Date Rcvd._______________By:_______________Date Shipped:_______________By:_______________

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