Mole Records / KGB Order Form

Mole Records

Order Form

Medium	Title	Price	Quantity	Cost
CD	KGB: The Red Light of Evening	$15	______	$_______
CD	KGB: In from the Cold	$15	______	$_______
CD	KGB: Volga Notions	$15	______	$_______
CD	KGB: Contra-intelligence	$15	______	$_______
Book	KGB Tune Dossier #2	$15	______	$_______
CD	Roguery: Impropriety Vol 1	$15	______	$_______
CD	Roguery: Impropriety Vol 2	$15	______	$_______
CD	Roguery: Impropriety Vol 3	$15	______	$_______
CD	Bag o'Tricks / Tricky Brits	$15	______	$_______
	TOTAL COST OF MERCHANDISE:			$_______
	Shipping (see below)			$_______
	GRAND TOTAL (merchandise plus shipping):			$_______

Shipping:
For one item, shipping cost is $2.00 to US, $3.00 Canada; $5.00 overseas.
For additional items, add $.50 per item ($1 for overseas) to the shipping total.
Orders including books will be sent by media mail. Other orders will be sent
first class or media mail depending on cost.

Mail this form along with a check or money order payable in US funds to:
David Bartley, 9032 - 11th Ave NW, Seattle, WA 98117 USA

Name:	___________________________________________
Address:	___________________________________________
	___________________________________________

Phone: _____________

Email: _________________________