***************************** inamaywool.com order form *******************************



Print this form and send it with your check or money order to:



BangZoom Records

PO BOX 706

Cathedral Station, NY  10025-9998



Price includes shipping. Please allow 2-4 weeks for delivery.





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[CD] "Moon Over 97th Street"  Price=$15(X) _______ = $________  
                 (BZ-101)                                  Quantity     Total




                                                              






[CD] "Crack It Open"                Price=$15(X) _______ = $________  
                 (BZ-102)                                  Quantity     Total









                                                           Grand Total=__________




                                                              




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SHIP TO: Please fill in all fields.



NAME _____________________________________________________________



ADDRESS __________________________________________________________APT__________



CITY _____________________________________STATE_______ZIP__________



PHONE NUMBER (____)_________________



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Thank you for your order!