Use the PRINT function of your browser to print the following form to mail in with your payment:

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.