CHAPTER 13 RECORDS
12502 Limerick Ave #B
Austin Tx 78713
512.703.0691
file13@austin.rr.com or 
blackandtan@altavista.com
http://members.xoom.com/chapter_13/

----------------------------------------------------------------------

======= ** NOTE MAKE CHECKS/MONEY ORDERS PAYABLE TO: ** =============
======= ** EITHER  DAVID OR RENE ** ===============

----------------------------------------------------------------------

* US CURRANCY ONLY *
ALL MERCHANDISE IS POSTAGE PAID IN THE U.S.
OUTSIDE U.S. PLEASE ADD $1.50

HERE IS WHAT YOU DO
Step 1: Print this order form, Fill It Out (If you dont have a printer.. just write
down the info below clearly)
Step 2: Put This order form and $$$ into an envelope
Step 3: Adress envelope to Chapter 13 Records PO Box 7045 Austin Tx 78713
Step 4: Put a stamp on it
Step 5: Put it into any mail box


----------------------------------------------------------------------------------------

PLEASE FILL THIS OUT


NAME:_________________________________

STREET ADDRESS:_______________________________

ADDRESS (cont):________________________________

CITY:_________________________________

STATE/PROVENCE:________________________

ZIP/POSTAL CODE:___________________________

COUNTRY:______________________________

PHONE #:___________________________________

EMAIL: _________________________________________

----------------------------------------------------------------------------------------

Please provide the following ordering information:

01) ITEM NUMBER:________________ DESCRIPTION:__________________________________

PRICE:_______________ QTY:______ SIZE/COLOR/ETC________________________________ 

02) ITEM NUMBER:________________ DESCRIPTION:__________________________________

PRICE:_______________ QTY:______ SIZE/COLOR/ETC________________________________ 

03) ITEM NUMBER:________________ DESCRIPTION:__________________________________

PRICE:_______________ QTY:______ SIZE/COLOR/ETC________________________________ 


TOTAL:____________