Shemekia Copeland Merchandise ORDER FORM

Shemekia Copeland Merchandise ORDER FORM

Print, complete, and mail with payment to the address below.
Prices Include Shipping and Handling within the US and Canada

ITEM	PRICE	CIRCLE SIZE(S)	CIRCLE COLOR(S)	QUANTITY	*AUTOGRAPHED? (CD's only: see note below)	SUBTOTAL
NEW! THE SOUL TRUTH: Compact Disc	$21.00	n.a.	n.a.		Yes No
TALKING TO STRANGERS: Compact Disc	$21.00	n.a.	n.a.		Yes No
WICKED: Compact Disc	$21.00	n.a.	n.a.		Yes No
TURN THE HEAT UP: Compact Disc	$21.00	n.a.	n.a.		Yes No
TEE-SHIRT - Style 1 Website address/photo back	$18.00	Medium Large XLarge	Orange Yellow Blue Black		not applicable
TEE-SHIRT - Style 2 Wicked/autograph back	$18.00	Medium Large XLarge	Gray Black		not applicable

					TOTAL:

*If Yes, please provide the following for each CD ordered.
If ordering multiple copies, please list info for additional CD's on the back of this form.

CD to be Personalized:

_____ THE SOUL TRUTH _____ TALKING TO STRANGERS

_____ WICKED _____ TURN THE HEAT UP

_____ Autograph only ("Shemekia Copeland, 2005")

______ Custom Personalization - 10 words or less (i.e., "Happy Birthday, Mike! Love, Shemekia")

(Please print clearly): ______________________________________________

________________________________________________________________

Purchaser Info:

Name:
Address:
City, State, Zip:
Country:
Phone:
Email:

Ship to: (if different than purchaser)

Name:
Address:
City, State, Zip:
Country:
Phone:
Email:

REMIT CHECK OR MONEY ORDER IN US DOLLARS PAYABLE TO:

Ghetto Child

Mail to:: Ghetto Child
P.O. Box 634
Lake Harmony, PA 18624
Allow 3-6 weeks for shipping and delivery.