|
ORDER
FORM
|
|||
|
Please
print and use this order form when making purchases. Mail completed order forms to: |
|||
|
Paul
Bond
|
|||
|
36A Smithtown Polk Blvd
|
|||
|
Centereach,
NY 11720
|
|||
|
|
|||
| Your Name: ______________________________________________________________________________ | |||
| Address: ________________________________________________________________________________ | |||
| City: ________________________________________ State __________ Zip __________________ | |||
| E-mail
Address: _________________________________________________________ (To be held in privacy) |
|
|
|||
|
QUANTITY
|
ITEM |
PRICE |
TOTAL |
|
Alive & NOT Well |
$10.00 |
||
|
Paul
Bond Live + 1 |
$10.00 |
||
|
Dont
Imagine Bad Things |
$10.00 |
||
A
Very Filthy XXX-Mas |
$10.00 |
||
|
SUB
TOTAL |
|||
|
NY
State Residents Please Add .085% Sales Tax |
|||
|
Shipping |
|||
|
TOTAL
ENCLOSED |
|||
|
SHIPPING
RATES |
|||
|
1-2
CD's Add $2.00 |
|||
|
3-5 CD's Add $3.00 |
|||
| Thank you for your purchase... | |||