DYLAN DAYS BUTTON and PROGRAM ORDER FORM

 

I am sorry I can not be there in person for Dylan Days 2010.  However, I would like to support Dylan Days and have the following items sent to me at: 

 

 

NAME

 

MAILING

ADDRESS

 

CITY, STATE

OR PROVINCE

 

POSTAL

CODE

 

DAYTIME

PHONE

 

 

 

QUANTITY ORDERED

UNIT PRICE

TOTAL

AMOUNT
2010 DYLAN DAYS BUTTON*


2009 DYLAN DAYS BUTTON
$5

2008 Dylan Days button

 

$5

$

2007 Dylan Days button

 

$5

 

2006 Dylan Days button

 

$5

 

 

 

 

 
2010 "TALKIN' BLUES"
PROGRAM AND JOURNAL


2009 ‘Talkin’ Blues’ program and journal

2008 ‘Talkin’ Blues’ program and journal

 

$5

 

2007 ‘Talkin’ Blues’ program and journal

 

$5

 

2006 ‘Talkin’ Blues’ program and journal

 

$5

 

 

 

 

 

CREDIT CARD FEE

($0.50 PER ITEM, IF CHARGED)

 

$0.50

$

 

 

 

 

Shipping & Handling 1 to 5 items = $4 (shipping outside of the U.S. is extra
and will be added to invoice total)

Shipping & Handling 6 to 10 items = $8 (shipping outside of the U.S. is
extra and will be added to invoice total)

Shipping & Handling 11 or more items = $12 (shipping outside of the U.S. is
extra and will be added to invoice total)

 

varies 

 

 

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

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

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

GRAND TOTAL

 

 

$

 

MAKE CHECKS PAYABLE TO:  DYLAN DAYS, Hibbing, MN

 

All items will be sent following the completion of Dylan Days 2009.


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 ZIMMY'S BAR AND RESTAURANT:

Fax number: 218-262-3205

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