Please print this form and send it along with your personal
check
or money order (please do not send cash) to:
Wild Clam Records
PO Box 355
Topanga CA 90290
| Quantity |
Product |
Style or Color |
Size |
Price |
Total |
| # | "Cecilia Noël and the Wild Clams: Live in Hollywood" DVD- |
-
|
-
|
$20.00 |
$ |
| # | SIGNED PHOTO OF THE DVD COVER (11 X 17)- | -
|
|
$10.00 |
$ |
| # | BONGOLAND (CD) | -
|
|
$10.00 |
$ |
| # | Delivery (CD) | -
|
|
$10.00 |
$ |
| # | El Clįsico (CD) | |
|
$10.00 |
$ |
| # | "The Master Rhythm Charts Volume 1" | -
|
-
|
$25.00 |
$ |
| # | El Clįsico T-Shirt | |
|
$10.00 |
$ |
| # | Wild Clam T-Shirt | |
|
$10.00 |
$ |
| # | Condom (SOUVENIR) | |
|
$2.00 |
$ |
| Thank
you for your order! |
Sub
Total |
$ | |||
| Shipping |
$ | ||||
TOTAL |
$ | ||||
Shipping Rates
U.S. - $5.00 International - $10.00
$20 FedEx (US)
|
|
Name _______________________________________ Address______________________________________ City______________________________ State_______ Zip_________ Telephone # _____________ Email Address __________________ Would you like your items autographed by Cecilia? _____ |
