Official Percy Sledge Merchandise Order Form

Make Checks or Money Orders Payable to: PTR MUSIC

Name:
Address:
City:
State:
Zipcode:
Phone:

Please Select:

Compact Discs
#PS-CD1 "Live from Louisiana" (New CD Release) $15.00 +s&h
#PS-CD2 "When A Man Loves A Woman" $15.00 +s&h

Cassette Tapes
#PS-CS1 When A Man Loves A Woman $15.00 +s&h

T-Shirts
#PS-TS1 Large T-shirt $17.00 +s&h
#PS-TS2 Extra Large T-shirt $17.00 +s&h
#PS-TS3 XX Large T-shirt $19.00 +s&h

Hat
#PS-HT1 "The Percy Sledge Show" Hat $25.00 +s&h

Autographed Picture of Percy Sledge
#PS-PH1 Autographed Photo of Percy Sledge $5.00 +s&h

Total Number Of Items Ordered:
Sub-Total Of Items Ordered:
Total Amount Of Shipping Costs: $3.95 ($1.00 per additional item)
Total Amount Of Order:

Payment Options

Money Order
Cashier's Check
Personal Check (must clear before shipping)

Please email this form by clicking "Submit" below and mail your check, money order, or cashier's check to:
PTR MUSIC
9455 Kroetz Drive
Shreveport, Louisiana 71118

Please allow 7 to 14 days for order processing and shipping.