HARRYCHAPINMUSIC International Order Form
THIS ORDER IS SECURE

Name:
E-Mail:
Company:
Street Address:
City:
Region:
Country:
Postal Code:
Phone:
Please list number of
Books, Videos, &
T-Shirts Requested:

Quantity
Harry's Bronze Medal of Honor $10.00
Harry's Gold Medal of Honor $30.00
Looking...Seeing Poetry Book $10.00
Remember When the Music Poster $6.00

New Taxi T-Shirts $22.00
# of White M, L, XL XXL

"Harry Keep the Change" T-Shirts $20.00
 # of White S, M, XL XXL

"Harry It S__S" Tour T-Shirt $18.00
# of Black M, L, XL, XXL
# of White M, L, XL, XXL

Harry Chapin Fan Pack $5.00

Please list number of
Cassettes
Requested:

Cotton Patch Gospel Cassette $9.00
Anthology of Harry Chapin Cassette $8.00
Verities & Balderdash Cassette $ 8.00

Please list number of
DVDs and Videos
Requested:
You Are the Only Song DVD $26.00
Remember When DVD $24.98
Rockpalast Live DVD $23.00
You Are the Only Song Video $24.00
Cotton Patch Gospel Video $18.00
All My Life's a Circle CD-Rom $20.00

Please List number of
CDs
Requested:

Circle CD-Rom and Onwards and Upwards CD $50.00
Onwards and Upwards CD $35.00
Legends of the Lost and Found CD $20.00
The Last Protest Singer CD $18.00
Verities & Balderdash CD $14.00
Short Stories CD $14.00
The Essentials CD $14.00
Songwriter CD $10.00
Sniper CD $14.00
Sequel CD $20.00
Jen Chapin (Debut) CD $8.00
Jen Chapin & Stephan Crump: Open Wide CD $15.00
Jen Chapin: Linger CD $12.98
Greatest Stories Live CD $14.00
Heads & Tales CD $14.00
Living Room Suite CD $14.00
On the Road to Kingdom Come CD $14.00
Portrait Gallery CD $14.00
Gold Medal Collection 2CDs $26.00
The Bottom Line Encore Collection 2CDs $24.00
The Harry Chapin Story of a Life Box Set $49.98

Please Check
Shipping/Handling Charges
International Shipping Rates

Orders up to $20.00: $14.00
Orders from $20.01 to $40.00: $16.00
Orders from $40.01 to $60.00: $18.00
Orders from $60.01 to $100.00: $20.00
Order from 100.01 to $120.00: $22.00
Orders from $120.01 to $149.00: $24.00
Orders $150 and over will be charged 11% of order

For Posters add an extra $14.00 for the tube

Please allow 3-6 weeks for delivery

For questions regarding ordering
call (631) 423-7558

International Shipping Instructions:

Payment Type MasterCard American Express Visa Discover
Credit Card Number Card Number:
expiration date: security code:

You may also print out this form and fax it to (631) 423-7596
This is a secure transmission.

Or mail it to: The Chapin Office, 16 Gerard St., Huntington, NY 11743

Harry's family is committed to keeping Harry's music heard
and his causes thriving.
Any contribution to the Harry Chapin Foundation is deeply appreciated.
You may add a donation to your order here: