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Order Form in PDF
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For snail mail orders,
please print this form
Shipping Information:
| Name: | ___________________________________ |
| Address: | ___________________________________ |
| City: | ___________________________________ |
| State/Province: | ___________________________________ |
| Zip Code: | ___________________________________ |
| Country: | ___________________________________ |
| Email address: | ___________________________________ |
| Quan
|
Artist/Title
|
Description
|
Amount
|
| _____ | Soulquest "How We Livin" | CD$11.99 | Cassette $8.00 |12"$5.00 | _____ |
| _____ | Fross "Real Rasta Man" | $5.00 - CD Single | _____ |
| _____ | Fitz "We No Scared" | CD$5.00 | Cassette $5.00 |12"$5.00 | _____ |
| _____ | Fitz "Took The Risk" | $12.00 - CD | _____ |
| _____ | The Love & Truth Choir "Rain On Us" | $13.00 - CD | _____ |
| _____ | Colours "Rebel Heart" | $13.00 - CD | _____ |
| _____ | C. Furer " About Miracles & Mysteries | $12.99 - CD | _____ |
| _____ | Vladimir Galaktionov "Russian Project" | $13.00 - CD | _____ |
| _____ | Aaron Bernard Brim "Its All About A Groove" | $13.00 - CD | _____ |
| _____ | James Bazen Quintet "Stranger Things" | $11.99 - CD | |
| _____ | James Bazen Big Band - "Tonight He's Mine" | $14.99 - CD | |
| _____ | Ty Stephens " Deeper In Fantasy" | $12.99 - CD | |
| Mikki Kornegay " Give Me A Sign" | $13.00 - CD | ||
| Without A Clue "2 Sweet" | $13.00 - CD | ||
| Aaron Bernard Brim "Hem of His Garment" | $13.00 -CD | ||
| The Scott Boni New Jazz Quartet " "Mumphrey's Bounce" | $13.00 -CD | ||
|
Sub Total
$
|
_____ | ||
|
USA, please
include $2.50 S/H
|
_____ | ||
|
CANADA,
please include $3.50 USD- S/H.
|
_____ | ||
|
OTHERS,
please include $5.00-USD S/H.
|
_____ | ||
|
Total $
|
_____ |
Headquarters Records,
Inc.
2200 Wilson Boulevard-PMB-141
Suite 102
Arlington, VA. 22201
U.S.A.