ORDER FORM

Please print and use this order form when making purchases.
( Make all checks payable to: Paul Bond)

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...