Your Name: ____________________________
E-mail Address: ____________________________
Your Home Address: ___________________________
____________________________________________
____________________________________________
Home Phone: ( _____
)_____ - _______ Work Phone: ( _____ )_____ - _______
Please indicate which items you would like to purchase:
| Item | Quantity | $ per item |
|---|---|---|
FOR3VER compact
disc | $12.00 | |
All Stars compact disc | $12.00 | |
| Melts In Your Mouth compact disc | $12.00 | |
| Add $1.50 for Shipping and Handling | $1.50 | |
Please send check or money order; do not send cash. Checks
made payable to Megalomaniacs.
Send this form along with your payment
to:
The Megalomaniacs, c/o Lane Phillips
6927 Mayflower Hill
Colby
College
Waterville, ME 04901
If you have any questions,
feel free to contact us.
Return
to The Megalomaniac Homepage.