PLEASE PRINT OR WRITE THIS PAGE THEN COMPLETE IT TO MAIL WITH YOUR PAYMENT.
Yellow No. 5 CD "Everyday is Different" $6.00 - QUANTITY ___
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FREE SHIPPING ON ALL ORDERS! - Your Total is $ ____________
Your SHIP TO ADDRESS:
Name: ___________________________
Street or PO Box: ______________________________________
City/State/Zip: _______________________________________________
Optional Information:
Your Email Address for Order Confirmation: _________________________________________
(YES) or (NO) I want to be on the Yellow No. 5 Email List so I can get Concert Updates!
Your Age: (Under 12) - (12-17) - (18-25) - (26-30) - (31-40) - (41+)
I am buying your stuff for: (MYSELF) - (MY MATE) - (MY KIDS) - (MY PARENTS) - (OTHER) _____________
Thank you for your support. Please mail your payment and this complete order form to:
Yellow No. 5 Merch - PO Box 58 - Lucas, OH 44843
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