ACCIDENTAL SUPERHERO
ORDER-BY-MAIL FORM
Print,
complete, and mail this page
with check or money order made out to:
Accidental Superhero
C/O Jonathan Kuiper
4575 Meadowland Blvd.
Colorado Springs, CO 80918
Note: Please make checks payable to Jonathan Kuiper
Name:
____________________________
Address:
Country:
___________________________
Telephone
#: ________________________
Fax
#: _____________________________
E-mail:
____________________________
Please indicate your
selection:
1)
FULL CIRCLE pre-release (2002) 12 songs $11.95 ____
Enter
the cost of all selected
CD(s):
$_________
Select
the shipping option you would like:
FIRST
CLASS MAIL 2-4 days (1 to 3 items): $3 s/h ____
INTERNATIONAL 2-3 wks (1 to 3 items):
$6 s/h ____
-------------------------- (Add
3.0% sales tax only if ordering from CO)
Enter
the total cost of your order:
$_________
Your order will be
sent upon receipt of your payment.
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