Jackie Ray Top Hits

Printable Order Form for "mail order"

Instructions:

For mail orders, fill out this page completely, print it and mail it together with your check (certified funds) or money order, in US Dollars, made payable to: Jackie Ray.  Please DO NOT mail cash!  Your order will be shipped immediately after your funds have cleared the bank.  You should receive your order within two weeks.  Also when you mail your order, please inform us by email: sales@jackieraytophits.com. 

YOUR SHIPPING INFORMATION: (items in Red are optional, the rest must be filled in)

First Name:

Street Address:

Last Name:

  

Telephone:

City:

Fax:

State:

E-mail:

Zip Code:

All Information will be Strictly Confidential - Not Shared or Sold!  Thanks

Country:

ITEMS ORDERED:

    
 

Product Description:

  

Total:

   

   

$

   

   

$

   

   

$

 

Shipping & Handling: 

$

 

ORDER TOTAL: 

$

QUESTIONS OR COMMENTS:
Please enter any additional questions, comments, or alternate shipping information below.

 

Print this Form then Mail it with Payment to the Following Address:

Jackie Ray Top Hits

PO Box 1834
Homer, Alaska 99603

 

           

 

Thank you for your interest in Jackie Ray's music!