KEITHURBANFANS.COM MAIL-IN ORDER FORM

Please print off the following order form and fill it out accordingly. Mail this with your enclosed payment.

USA CUSTOMERS
We accept cashiers checks or money orders. We can not accept personal checks. Cash at your own risk.

INTERNATIONAL CUSTOMER (outside of USA)
We can only accept US cash at your own risk. We can not accept international money orders, cashiers checks or personal checks.
The best payment option for international customers is to use our online ordering method.

MAKE PAYMENTS PAYABLE TO
AMY STANG. We can not accept payments made out to KeithUrbanFans.com.

MAIL PAYMENT & ORDER FORM TO
KeithUrbanFans.com / P.O. Box 676 / Lakemore, OH 44250

SHIPPING COSTS
USA Customers: $4.25 and then $1.25 per additional calendar
CANADA Customers: $5.25 and then $2.25 per additional calendar
OTHER Customers: $9.95 and then $3.25 per additional calendar

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Name:	________________________________________________________________________________
Address:	________________________________________________________________________________
City/State/Zip:	________________________________________________________________________________
E-Mail Address:	________________________________________________________________________________

 

Item Information

Item	Price	Quantity	Shipping	Amount
2010 Keith Urban Calendar	$7.99	__________	$ ___________	$ ___________
2009 Keith Urban Calendar	$7.99	__________	$ ___________	$ ___________
2005 Keith Urban Calendar	$7.99	__________	$ ___________	$ ___________
			Total:	$ ___________