Mercy Creek Mail Order Form
Print this page out, fill in the information, and enclose your check for the correct amount made payable to Mercy Creek. Tax and shipping are included in the pricing. Mail your completed order form to:
Mercy Creek - Box 105 - Kilmarnock, Va. 22482
Mailing address where you'd like to receive your Cds.
First Name_____________________
Last Name______________________
Address________________________
City __________________________
State____, Zip______________
Email____________________
Products Offered:
1. "Storm Has Blown Over"
Qty____ X $15.00 each = _____________
2. "name of the record is mercy creek"
Qty____ X $15.00 each = _____________
3. "Dirty Water"(currently sold out)
Qty____ X $15.00 each = _____________
4. "Bonfire of Vanities"
Qty____ X $15.00 each = _____________