USA MAIL ORDER FORM

If you choose  to send a money order or cashier's check, please fill in the desired quantity below and enter the
total amount for all checked items in the "Total" field.  All prices listed below include shipping and handling.

Please print and mail this form to:

E.G. Daily Productions
P.O. Box 11101
Beverly Hills, CA 90213

Quantity ITEM Price S/H TOTAL

"Listen Closely" CD Soundtrack $16.00 Included

"Tearing Down The Walls" CD $16.00 Included

Autographed 8x10 Photo #1 $22.50 Included

Autographed 8x10 Photo #2 $22.50 Included

Autographed 8x10 Photo #3 $22.50 Included

LIMITED EDITION Autographed 8x10 Photo #4 $22.50 Included

"Listen Closely" CD + Autographed 8x10 Photo #1 $33.50 Included

"Listen Closely" CD + Autographed 8x10 Photo #2 $33.50 Included

"Listen Closely" CD + Autographed 8x10 Photo #3 $33.50 Included

"Tearing Down The Walls" CD + Autographed 8x10 Photo #1 $33.50 Included

"Tearing Down The Walls" CD + Autographed 8x10 Photo #2 $33.50 Included

"Tearing Down The Walls" CD + Autographed 8x10 Photo #3 $33.50 Included


 

FIRST NAME: _____________________________________


LAST NAME: ______________________________________


ADDRESS: _______________________________________


                 _______________________________________


CITY: ___________________________________________


STATE OR PROVINCE: ______________________________


ZIP/POSTAL CODE: ________________________________


COUNTRY: _______________________________________


EMAIL ADDRESS: _________________________________


PHONE NUMBER: _________________________________


Please note: Orders requiring mail payments will not be processed until the payment is received.
Dear friends and fans, for an autographed 8 x 10 photo please do not send a self add stamped
envelope without appropriate payment as you will not receive photo.

Thank you!
www.egdaily.com