BRM Records (ORDER FORM)

BRM RECORDS ORDER FORM

(PRINT THIS FORM AND MAIL W/CHECK OR MONEY ORDER)
Make Check Payable To: BRM Records

PRODUCT NAME	Price	Quantity	Amount
CD - Boat Logic by Bruce Myers	9.99
CD - Stinkpot & Rags by Bruce Myers & Crew	9.99
Cassette - Stinkpot & Rags by Bruce Myers & Crew	2.00
Stinkpot & Rags T-Shirt: (Please Circle Size and Color) (Size: S / M / L ) (Color: Purple / Gray ) *Small is Not Available in Gray	14.99

SPECIAL COMBINATION OFFER
"Boat Logic" CD and "Stinkpot & Rags" CD	15.99
TOTAL
Discount Code (if applicable) _________________ (-10%)
Md. Residents Add Sales Tax (5%)
Shipping & Handling Under $15 = $3.00 \| $15 - $29.99 = $4 \| $30 - $49.99 = $5 \| $50 - $99.99 = $6 $100.00 and Over = FREE
Total Enclosed

Mail This Completed Form to Postal Address:

BRM Records
2612 Masseth Avenue
Baltimore, MD 21219-1809, U.S.A.

Make Check or Money Order Payable To: BRM Records

BruceMyersMusic.com || StinkpotAndRags.com || BoatLogic.com

THANK YOU FOR YOUR ORDER