Blue Prints Records,
Inc.
2100 Linwood Avenue, Suite 7U
Fort Lee, NJ 07024 USA |
Order
Information:
| CD TITLE |
QTY |
PRICE |
TOTAL
PRICE |
| MDC: First and Last |
|
$12.99 |
|
|
| Sisko: Min Max |
|
$9.99 |
|
|
Merchandise Total
Note: We will take
care of applicable sales tax |
|
|
| Shipping within the US ($1.00) |
|
|
| Shipping outside the US ($3.00) |
|
|
| TOTAL |
|
|
|
Payment
Information:
| CHECK
ONE: |
[ ] VISA [ ]
MasterCard [ ] American
Express [ ] Check/Money
Order |
| Card
Number: |
|
| EXP
Date |
Month
Year |
| Authorized
Signature |
|
| Cardholder's
Name: |
|
| Statement
Address: |
|
| City/State/Zip: |
|
|
Shipping Information:
(if different
than above)
| Name: |
|
| Address: |
|
| City/State/Zip: |
|
| Phone: |
|
| Email: |
|
|
We will send an email
when we receive your order, send questions to sales@blueprintsrecords.com
You can print out this form, or include the above information with your mail
order.
Use the BACK button to return to the website, thank you for your
interest. |