Rompin Records
Fax Order Form (Click on "file" then "print")

fax: 818-765-0617 Attn: Dept. S

Title of Volume Ordered

   

Unit Price

   

Quantity

-Total-

Barnyard Country Christmas - CD     US$14.95    

 

 

US$
Barnyard Country Christmas - Cassette     US$9.95    

 

 

US$
A Froggy Christmas -CD     US$14.95    

 

 

US$
A Froggy Christmas - Cassette     US$9.95    

 

 

US$
The Frogs of Summer - CD     US$14.95    

 

 

US$
The Frogs of Summer - Cassette     US$9.95    

 

 

US$
SHIPPING AND HANDLING
US$2.95 for first item ordered, US$1.00 per each additional item

US$
California Residents
add 8.25% sales tax

US$

Total Sale Amount: US$

Name: _______________________________________ Phone Number: _________________

Street Add: ___________________________________ Credit Card: [ ] Visa [ ] MasterCard

City: ________________________________________ CC No:_______________________

State/Province:___________ Postal Code: ___________ Expires: _______________________

Signature: ___________________________________________

Print This Form. Make Checks payable to "Rompin' Records", and Fax your Check, or Credit Card Authorization to:

fax: 818-765-0617 Attn: Dept. S

Rompin' Records
Attn: Department S
12400 Ventura Blvd., #341
Studio City, CA 91604
USA