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Order Form

Make Checks Or Money Orders Payable To:
Nudgie Records & Tapes

Mail to:
Nudgie Music Llc.
12 West 37th Street 6th Floor
New York, N.Y. 10018

Fax Your Credit Card Order To:
212-353-8494
Name :
Date:
  
Address :
  
City :
States:
Zip :
  
Phone:
Work:
Fax :
e-mail :
How did you
hear about us:
  
 
Quantity
Description
Unit Price
Amount
CD :
  
Kassie DePaiva
Naked
$15.00
  
CD :
  
David Nichtern
From Here To Nichternity
$15.00
  
Tape :
  
David Nichtern
From Here To Nichternity
$10.00
  
CD :
  
Drala
$15.00
  
Tax Chart
1 CD = $1.24
2 CDs = $2.50
3 CDs = $3.71
4 CDs = $4.95
5 CDs = $6.19
6 CDs = $7.40
  
Subtotal:
    
 

NY State Sales Tax:
(New York State
Residents Only)

    
 
Shipping:
$3.00 for 1CD / $1.00 each additional CD
  
 
Total:
    
Payment :
Credit Card
Check
Money Order
Card Type :
Visa | MasterCard | American Express | Discover
Card Number:
Expiration Date:
  
Customer:
 CUST Date Paid:
Shipped: