Dandy Records Order Form Name:_____________________________________________ Address:__________________________________________ __________________________________________________ State, City, Zip:____________________________________ Country:__________________________________________ Email address (optional):___________________________ Number of Blue Nite Lounge CDs requested:__________________________ Number of Junkyard Junky CDs requested:___________________________ Total amount ___ x $15 = ___________ Shipping: UP TO $15.00 US $4.00 U.S. $5.00 Canada $7.00 Outside North America ____________ UP TO $30.00 US $6.00 U.S. $7.00 Canada $12.00 Outside North America ____________ UP TO $60.00 US $8.00 U.S. $9.00 Canada $14.00 Outside North America ____________ OVER $60.00 US $10.00 U.S. $11.00 Canada $18.00 Outside North America ____________ Tennessee residents add 8.25% sales tax ____________ Total Enclosed: (CD, shipping and applicable tax) ____________ Make your check or money order payable to Dan Penn Music, and enclose it with this form. Send it to: Dan Penn Music P.O. Box 40891 Nashville, TN 37204-0891 Money orders and cashiers checks are preferred. We will accept personal checks, but will wait ten business days for them to clear. To expedite your order more quickly, consider getting a money order. Allow 3-6 weeks for delivery. If you have a question on a pending order, please feel free to email us at danpenn@danpenn.com. Thank you for your order!