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

 

NEW LIVE CD- “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...