Purchasing
Information
PRINTABLE ORDER
FORM
To print this order form, click on file/print.
Mail the completed form along with a
check or money order to:
Ancient Echoes Entertainment
PO BOX 211
Drake, CO 80515-0211
Make check or money order payable to:
Danny Rael
E-mail: n8vflute@tombstone1880.com
Sold to: Name:_________________________________________
Address:______________________________________
City:_________________ State:____ Zip:_______
Phone number:_________________________________
E-mail:_______________________________________
Ship to: (if different from above) Name:__________________________________________
Address:_______________________________________
City:_________________ State:____ Zip:________
Phone number:__________________________________
Additional Information ________________________
_______________________________________________
| PRINTABLE ORDER FORM | |||
|---|---|---|---|
| TITLE | QUANT. | PRICE | TOTAL |
| Visions CD | ___ | $15.00 | $_______ |
| Visions cassette tape | ___ | $10.00 | $_______ |
| SHIPPING & HANDLING: $4.95 (domestic Priority Mail) |
$ 4.95 | ||
| TOTAL AMOUNT |
$_______ |