Dixie Power Trio Order Form
Please
print out this form and mail along with your order.
Name _________________________________________________________
Address _________________________________________________________
_________________________________________________________
Dixie
Power Trio Merchandise
Big Parade (Dec 1, 2013 Release Date)
Compact Discs
Quantity ______ X $10
each = Total_________
Zydeco
Dog
(May 12, 2007 Release Date)
Compact Discs
Quantity ______ X $10
each = Total_________
Let's All Go Down To New Orleans
Compact
Discs Quantity ______ X $10 each =
Total_________
Virgil Sessions
Compact Discs Quantity
______ X $10 each = Total_________
Ain't My Fault
Compact Discs Quantity ______
X $10 each = Total_________
Greetings From Gumboville
Compact Discs Quantity ______
X $10 each = Total_________
Out of Control (first release)
Compact Discs Quantity ______
X $10 each = Total_________
New Line Brass Band Merchandise
Bad Spuds (newest release)
Compact Discs Quantity ______
X $10 each = Total_________
Totals
add $2 shipping for each item
ordered
Shipping Total _____
Total amount enclosed _____
Make checks in U.S. dollars payable to:
Dixie Power Trio, Inc.
11007 Abbey Lane
Fredericksburg, VA 22407-5035
DPT
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