LeCompt Gear Order Form

Instructions:  Fill out this form, print it out and mail to the address at the bottom of this page.  (If you don't have a printer you can write out the information and mail it to us.)

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Please provide the following contact information:

   (Items in Bold are mandatory)

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
E-mail
  SHIPPING (if different than above)
             Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

 

Please select from the following:

        QTY      

  Description   Price/Unit      Total Price   
    LeCompt - (Debut Album)                                          $15.00  
    LeCompt - Unplugged $15.00  
    LeCompt - CD Single Where You Should Be / I Believe (All I Need)  $7.00  
    LeCompt - CD Single How Long / Christmas (All Over The World)  $7.00  
    LeCompt - CD Live at JoJo's $15.00  
    LeCompt Live at John's 2002 $!0.00  
    LeCompt Long Sleeve T-Shirt - Specify Size $15.00  
    LeCompt CD single"Cant Let It Go" $10.00  
  A Jersey Shore Christmas 15.00  
  The Complete LeCompt collection! All CDs and T-Shirt (circle: S-M-L-XL ) $99.00  
 

Shipping and Handling  

  $3.00
       
  Total Order      

Mail to:

LECOMPT STORE
Internet Order Dept.
P.O. Box 39031
Philadelphia, PA 19136
Make sure to include a check or money order for the amount of your order (plus $3.00 shipping and handling)
Copyright (c) 2009 eBernie, Inc.