MERCHANDISE ORDER FORM


Please print out this form, fill it out, and send it with each item you order.


Who are you ordering from: ____________________________________

Item: ____________________________________

Quantity: _______ (Tapes: _____ CD's: ____)

CD/Tape title:____________________________________

Price per item: $_______

Price x total quantity: $___________

Total cost (plus any S&H or taxes that apply): $_________

Form of payment: (Circle one) Cash ----- Money Order ----- Check

Your name: ____________________________________

Address: ____________________________________

City, State, Zip Code: ____________________________________

Phone #: ____________________________________



-This form is part of the PHREEKERZ RECORD STORE. Thank you for your business!-

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(Cut on line)
If you cannot print this form, please download and print this .txt form.
If you prefer, you can also download and print this Microsoft Works 3.0 Word Processor form.
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