Blue Nite Lounge Order Form Name:_____________________________________________ Address:__________________________________________ __________________________________________________ State, City, Zip:_________________________________ Country:__________________________________________ Email address (optional):_________________________ Number of CDs requested:__________________________ Total amount ___ x $15 = ___________ Shipping: $3 U.S. $4 Canada $6 International ____________ 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!