TO MAIL IN AN ORDER
PRINT AND MAIL THIS FORM WITH CHECK OR MONEY ORDER MADE TO"JOHN MUELLER"

Please send:

mail to:
John Mueller
c/o Winter Dance Party Productions
12115 Magnolia Blvd., PMB 37
Valley Village, CA 91607
Note: For confirmation purposes, please copy and paste your order into an e-mail before printing and mailing. Thanks!

DVD

______ Winter Dance Party Live DVD @ $25 each

CD's

______ Winter Dance Party® Holiday Greetings To You! CD @ $15.00 each

______ Winter Dance Party Live at The Riverside Ballroom CD @ $20 each

______ Romance and Redemption CD @ $12 each
 

Signed 8x10 Photographs

______ Photo #1:  John Mueller as Buddy Holly (B&W) @ $5.00 each





$__________ Total for Merchandise

$__________ California residents add 8.25% sales tax

$__________ For orders shipped outside the United States:  Add $6.00

$__________ Total (Enclose Check or Money Order)
 

Shipping Information

Name _________________________________________

Address _______________________________________

City ___________________________________________

State _____________  Zip _________________________

Telephone ______________________________________

E-Mail __________________________________________

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