Beltline Big Band - CD Order Form

Name: _____________________________________ 

Phone #: __________________________________ 

Email:_____________________________________ 

Please pick one of the following two delivery options. 
You may get your CD directly from a band member or 
have it shipped (see below). 

[ ] CARE OF BAND MEMBER
    Band Member Name: _____________________ 

[ ] SHIP TO 
    Address: ______________________________ 
    City: _________________________________ 
    State: _________________ Zip: _________ 

NEW RELEASE: That Ol' Jack Magic = $15 each
Big Band Bounce                  = $15 each
SPECIAL OFFER                    = $20 for both

Qty ___ That Ol' Jack Magic
Qty ___ Big Band Bouce


CDs sub total  $ ______ 
Shipping*      $ ______ 
Total          $ ______

*Shipping cost is $3 for 1 CD, $4 for 2-5 CDs, and $5 for 6-10)

Please make checks payable to Beltline Big Band. 

Orders are typically processed within 24 hours of receipt and shipped
via normal US postal delivery. For delivery outside of the United States, 
or for other delivery options, please e-mail info@beltlinebigband.com 
or call 616-656-0670. All prices are US dollars.

Print, complete and mail this form with payment to:

    Beltline Big Band
    5413 West Heathwood Drive
    Kentwood, MI 49512

Questions? Call Brenda @ 616-656-0670