Order Form for Valerie Perri's CD
Please print and fill out this order form, and send it to Valerie Perri along with your payment.

Send Payment to:

Valerie Perri Entertainment
5450 Ethel Avenue
Sherman Oaks, CA 91401

I would like to order the following:

Payment Information:
Check/Money Order Enclosed (Payable to "Valerie Perri" in US$)

Ship to:

Name: ___________________________________________________________

Street Address: _____________________________________________________

City: ______________________________ State: _______ Zip: ____________

Country: _________________________ Telephone: _____________________

E-mail: _____________________________