PJ OLSSON FAN CLUB - ORDER FORM
1 form per membership. Please print and fill out this page.
Please fill out entire form in clear printing to avoid misinformation.
 
Attach your method of payment of $ 20.00 US (in the form of Money Orders or Bank Checks ONLY!) and make it payable to the following address:
 
Send your forms to:
Lorraine McCrory
P.O. Box 8281
Kentwood, MI 49518
 
for any questions or comments please email one of the following addresses:
pjofc@247pj.com or fanclub@247pj.com
 

 
First Name: ______________________________________

Last Name: ______________________________________

Address 1: _______________________________________

Address 2: _______________________________________

City: _________________________ State: _____________

E-Mail Address: ___________________________________

Shirt Size: (circle one of the following sizes)

small          medium          large          extra large

Would you like to be contacted for Street Team information to promote PJ in the future?

YES          NO

THANK YOU FOR YOUR ORDER!
REMEMBER TO PLACE YOUR PAYMENT WITH THIS FORM!