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ORDER FORM
(print this page and mail with check.)
| Name: |
E-mail: |
| Address: |
| City: |
State: |
Zip: |
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| Item: |
Quantity: |
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Price: |
|
Sub-total: |
| L.S.D. Compact Disc |
|
x |
$13.00 |
= |
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| MJ-12 Sticker |
|
x |
$1.00 |
= |
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| MJ-12 T-Shirt (state sizes and colors) |
|
x |
$12.00 |
= |
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All prices include shipping and handling. Orders outside the
U.S. - add $2.00. U.S. currency only. Make checks payable to: MJ-12
Records. Send payment and this form (or a note describing your order)
to:
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MJ-12 Records, Inc.
P.O. Box 196
Elizabeth Station
Charlotte, NC 28204
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[hit "back" on your browser to return to the mj-12
site.]
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