Print, fill out, and mail in this order form with your payment..
Send check or money order in USA Funds to:
| David Wasik |
| 26 Irving Pl. Apt.15 |
| Buffalo, NY 14210 |
| USA |
| Name:_________________________ |
| Street: _________________________ |
| City: __________________________ |
| State / Provence:_________________ Zip/Postal: ____________ Code:__________________________ |
| Country:________________________ |
| Phone: (___)-____-_______________ |
| E-mail: ________________________ |
| Would you like to be on our mailing list? Yes!____ No____ |
| Quantity | Title | Price |
Total |
| Audio Goods | |||
| The "4x3" EP |
$7.00 |
||
| Organagalactic CD | $10.00 | ||
| Shipping (per order) | $3.50 | ||
Grand Total: |
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We will send your order within 5 -10 days. We appreciate your support!