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R
E D S T R E A M O N L I N E M A I L O R
D E R F O R M
a Black/Death Metal & Dark Ambient label and distributor
INSTRUCTIONS
1. This order form is only valid for United States Residents!
2. You do not have to use this form. You can write your order on any piece
of paper.
3. Please print or type legibly.
4. Read over your order to make sure it is correct.
5. The prices listed on our web site already include postage (within America).
6. Reservations accepted by existing customers only!
7. List alternatives if you have not placed a reservation.
8. Mail your order to:
Red Stream, Inc.
P.O. Box 196242
Winter Springs, FL 32719-6242
U.S.A.
with payment.
PAYMENTS ACCEPTED
1. Visa/Mastercard/Discover/American Express
2. United States cash
3. Personal checks (clearing time 3 weeks)
4. Money order
CUSTOMER INFORMATION
FIRST NAME: ___________________________________________________________________
LAST NAME: ___________________________________________________________________
MAILING ADDRESS:______________________________________________________________
APT. OR STE NUMBER: __________________________________________________________
CITY: ___________________________________________________________________________
STATE (Two letters): ___________ ZIP CODE (5 or 9 digits): ______________________________
HOME PHONE NUMBER (10 digits):__________________________________________________
ALTERNATE PHONE (business, cellular, etc.):__________________________________________
EMAIL: ______________________________ ALT EMAIL: _________________________________
ORDERING
QTY BAND NAME TITLE
FORMAT CODE
PRICE TOTAL
E X
A M
P L
E
2 Hidden
Spectral Magnitude CD
RSR-0152 $13
$26
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A L T E R N A T I V E S E L E C T I O N S (required):
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continue on other paper if necessary
NUMBER OF ITEMS ORDERED TOTAL:_________
ORDER TOTAL: $________
Florida residents must add 7% sales tax: $_______
THANK YOU AND ENJOY YOUR ORDER.