DYLAN DAYS BUTTON and PROGRAM ORDER FORM

 

I am sorry I can not be there in person for Dylan Days 2008 and the release party of Toby Thompson's book "Positively Main Street."  However, I would like to have a signed copy (or copies) sent to me at:

 

 

NAME

 

MAILING

ADDRESS

 

CITY, STATE

OR PROVINCE

 

POSTAL

CODE

 

DAYTIME

PHONE

 

 

 

QUANTITY ORDERED

UNIT PRICE

TOTAL

AMOUNT

“Positively Main Street”
by Toby Thompson

 

$17 (includes tax)

$

 

 

 

 

CREDIT CARD FEE

($0.50 PER ITEM, IF CHARGED)

 

$0.50

$

 

 

 

 

Shipping and handling

(Shipping outside of the U.S. is extra and will be added to invoice total)

 

$5

 

 

----------------

-------------

---------------------------

GRAND TOTAL

 

 

$



PLEASE PERSONALIZE MY BOOK TO (print): _________________________________________________

 

 

MAKE CHECKS PAYABLE TO:  DYLAN DAYS 2008

 

All items will be sent following the completion of Dylan Days 2008.

 

Orders must include check or valid credit card number to be processed.

 

CREDIT CARD NUMBER (VISA – MASTERCARD – DISCOVER):    

 

 

 

 

-

 

 

 

 

-

 

 

 

 

-

 

 

 

 

 

EXPIRATION MONTH AND YEAR:    

 

 

/

 

 
 

PRINT THIS FORM AND MAIL OR FAX IT TO DYLAN DAYS, C/O ZIMMY'S BAR AND RESTAURANT:

Fax number: 218-262-3205

Mail:
Dylan Days tickets
531 E. Howard St.
Hibbing, MN  55746