Di Anne Foxx
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Name______________________________________E-mail Address_______________________________________
Address___________________________________City, ST, Zip__________________________________________
Phone (Optional, for questions concerning orders)__________________________Fax___________________________
TAINTED ROSE CD ALBUM........................................Quantity________ @$9.99= Total $______________
Di Anne Foxx KOOZIES.................................................Quantity________@ $3.00 = Total $______________
ARE YOU AN ANGEL Cassingle.....................................Quantity________ @ $4.00 = Total $______________(Back Ordered)
ARE YOU AN ANGEL CD (Single).................................Quantity________ @ $5.00 = Total $______________
Fan Club Membership (Free Photo ( ) Key Chain ( ).......Quantity________ @ FREE = Total $______________ (Add $2.00 Postage and Handling U.S., $5.00 International)
Black & White Autographed Photographs.......................Quantity________ @ $2.00 = Total $______________
Color Autographed Photographs ....................................Quantity_________@ $4.00= Total $______________
T-Shirts (Specify Size: S, M, L, XL)................................Quantity________ @ $10.99 = Total $______________
T-Shirts (Specify Size: S,M,L,XL) REBEL ROSE ............Quantity________@ $14.99 = Total $______________
Caps (Color: Red, Teal, Blue, Navy, Black, Green, Mar)...Quantity________ @ $5.99 = Total $______________
Single-Page Calendars......................................................Quantity________ @ $1.00 = Total $______________
Pin-On Buttons...............................................................Quantity________ @ $2.50 = Total $______________
Key Chains......................................................................Quantity________ @ $2.50 = Total $______________
Wall Clocks.....................................................................Quantity________ @ $15.99=Total $______________
TOTAL....................................................................................................................................$______________
Shipping......................................................... $3.95 per Item, $1.25 Additional Items , (U.S.); add $5.00 Foreign.
GRAND TOTAL $___________
(Shipping **NO CHARGE** on orders over $50.00 within the United States)
If you want any item autographed, please send what you would like on each item
Mail to: Di Anne Foxx, 40 Blackwell Road, Picayune, MS 39466, (Allow 2-4 Weeks for Delivery)
Additional Merchandise Available At: www.cafepress.com/diannefoxx