Lorraine Jordan & Carolina Road FAN CLUB

If you would like to sign up for the fan club, please fill out the form
below and mail to the address located at the bottom of the page.
Thank you for your support!

Name: __________________________________________________

Address: ________________________________________________

City/State/Zip ____________________________________________

Phone: _________________________________________________

Email: __________________________________________________

I would like to receive my news via: (put X by appropriate box)
Email: ___
Snail Mail ____

My t-shirt size is: ____________ (in case we ever have a giveaway!)

My favorite Carolina Road CD is: _____________________________

MAIL TO:

Jordan Entertainment
Lorraine Jordan
3751 Junction Blvd.
Raleigh, NC 27603