Fill out this form and then print it out on your computer and MAIL along with payment.

Mail Orders To:
Wayne Moss
1108 Cinderella Street
Madison, TN 37115
ALL INTERNET ORDERS ARE PERSONALLY AUTOGRAPHED UPON REQUEST!

Name:
Address:
Address(2):
City/State: Zip:
Email:

I would like to purchase:

Area Code 615 Live  $18 Quantity
New Hope Road $14 Quantity
Area Code 615  - A Trip In the Country - 2 CD set. $25 Quantity
Southern Delights - Barefoot Jerry - 2 CD set. $25  Quantity
Watchin' TV - Can't Get Off - 2 CD set. $25  Quantity
Keys to the Country - Barefootin' -2 CD set.$25  Quantity
Barefoot 7$14 Quantity
Barefoot Live In Japan $18 Quantity

Would you like an autographed CD? Yes

Be sure to add postage using the Shipping Table below:

Shipping & Handling
1 CD $5.45
2-3 CDs $5.90
4-5 CDs $7.10
6-7 CDs $8.30
8+ CDs $9.50

Tennessee residents please add 9.25% sales tax.

TOTAL AMOUNT:

Checks or money orders only, please,
payable to Wayne Moss - Fax -615-612-2400

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