Van-Dell's Merchandise Order Form

Please fill out form, print, and mail to the address below

Name:

Address:

City: State: Zip: -

Phone: -

CD's
Item Price Quantity Total
"Presents From The Past"  CD $20.00
"The Van-Dells Live" CD $20.00
"Ten ( X )"CD $15.00

"Time Travelers Vol. I" CD $20.00

"Time Travelers Vol. II" CD $20.00

"The Colors Of Christmas" CD $12.00

Video / DVD
Item Price Quantity Total
"The Van-Dells Rock This Town, Vol. 1." (DVD)   $20.00
"The Van-Dells Rock This Town, Vol. 2." (DVD) $20.00
"The Van-Dells Rock This Town, Vol. 1." (VHS) $20.00
"The Van-Dells Rock This Town, Vol. 2." (VHS) $20.00
"The Van-Dells Live At The Executive Inn Vol. I" (VHS) $20.00

"The Van-Dells Live At The Executive Inn Vol. II " (VHS) $20.00

SUBTOTAL

( See Below ) S & H

TOTAL

Shipping & Handling
Please add $4.00 for first item
add $3.00 for second item
add $1.00 for each additional item
Please send check or money order to:
The Van-Dells, 8120 Bridgetown Rd,
Cleves, OH. 45002
For Rush Delivery, send cashiers check or money order to the address above