Order Form
Use this form to order by mail or by fax.
Print out this page and carefully fill in the information.
Mailing address and fax number are found at the bottom of this page.


Thanks for your order!


Name :
Company :
Shipping Address :
City, State, ZIP :
Phone Number :
E-mail Address :
Join our mailing list?
E-Mail Snail Mail
Credit Card Type
Mastercard Visa American Express
Credit Card Number :
Expiration Date :
I am ordering _______ CDs @ $15.00 each = $
I am ordering _______ cassettes @ $10.00 each = $
Subtotal = $
New York State sales tax = 8.25% $
Shipping & Handling
$3.00 first, $1.00 additional
international - $5.00 first, $2.00 additional		 $
Total = $


Mail to:
Fax to:
Nudgie Records & Tapes
7 Great Jones St. Suite #2
New York, N.Y. 10012
(212) 353-8944

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This document ©1998 Nudgie Records & Tapes. All rights reserved.