The Mercey Brothers - Order Form

ORDER FORM

To conveninetly purchase by credit card, visit www.countrymusicnews.ca.
Or, if you prefer, you may order by cheque or money order using the form below.
Please note, this is NOT an e-mail order form. Make your cheque or money order payable to Larry Mercey Productions. PRICES ARE IN CANADIAN FUNDS. Print the form, fill in the order, and mail it with your cheque or money order to:

Larry Mercey Productions
590 Hunters Place
Waterloo, Ontario
Canada N2K 3L1

NAME:_______________________________________________________________

ADDRESS:____________________________________________________________

CITY:______________________________STATE/PROVINCE:__________________

POSTAL CODE/ZIP:__________________TELEPHONE #:______________________

CDs $20.00 each (including taxes).
Postage: Canada $3.50, U.S.A. $4.50, Europe $6.50
Please allow 4 to 6 weeks for delivery.

	HALL OF FAME Mercey Brothers	CD_____
	FULL SPEED AHEAD Larry Mercey	CD_____
	IT'S NOT OVER YET The Larry Mercey Trio	CD_____