ROGER ROC LARUE


ORDER FORM
 
Please send me: CD - "One More Time"
  How Many?_____    (U.S.)  $15.00 pp/s&h included
                    (Int'l) $16:00 pp/s&h included      Total $_________

Please send me: 45-rpm EP - "Get A Little Closer"
  How Many?_____    (U.S.)  $7.50 pp/s&h included       Total $_________
                    (Int'l) $8.50 pp/s&h included

An 8x10 autographed photo is included for a limited time only.

 
PLEASE PRINT CLEARLY:
 
         Name     _________________________________________
         Address  _________________________________________
                  _________________________________________
         City     _________________________________________
         State/Province  __________________________________
         Zip/Postal Code  _________________________________
         Country  _________________________________________
 
Would you like your autographed photo personalized.  If so, please give
details as to how you would like Roc to personalize your photo.________
_______________________________________________________________________
_______________________________________________________________________
   
Please remember: Checks or money orders must be drawn on a U.S. bank and
must be in U.S. dollars. There will be an additional $10.00 charge for any
checks returned by the bank.  Checks and money orders should be made payable
to Roc LaRue Enterprises.
 
Print out this form, fill out clearly and send it along with your payment to:
   
                                       Roc LaRue Enterprises 
                                       Attn: CD-OMT
                                       13893 Hanover Park Ct. 
                                       Jacksonville, FL 32224 
 
USA, please allow 5-10 days delivery.  Overseas - please allow 2-3 weeks
delivery. 
 
Thank you for your order.