Name:___________________________________________________________________ Address:________________________________________________________________ City:__________________________________________ State:__________________ ZIP Code:__________________________ Country:___________________________ E-Mail:____________________________ Phone Number:______________________ ITEM(S) YOU WANT: SIZE(if any) QUANTITY PRICE $ 1)___________________________________ ____________ ________ $_______ 2)___________________________________ ____________ ________ $_______ 3)___________________________________ ____________ ________ $_______ 4)___________________________________ ____________ ________ $_______ 5)___________________________________ ____________ ________ $_______ 6)___________________________________ ____________ ________ $_______ 7)___________________________________ ____________ ________ $_______ 8)___________________________________ ____________ ________ $_______ 9)___________________________________ ____________ ________ $_______ 10)__________________________________ ____________ ________ $_______ 11)__________________________________ ____________ ________ $_______ 12)__________________________________ ____________ ________ $_______ Total Number of items:___________ Total Price Without Shipping $_______ Shipping Charges for Merchandise (look below): $______ USA CANADA INTERNATIONAL 1 item = $2.60 1 item = $3.20 1 item = $7.80 2 items = $3.40 2 items = $4.20 2 items = $9.40 3 items = $4.20 3 items = $5.60 3 items = $11.00 4 items = $5.80 4 items = $6.80 4 items = $12.60 5 items = $6.80 5 items = $7.60 5 items = $15.80 6+ items = $7.80 6+ items = $8.80 6+ items = $22.80 Total Price: $___________._______ FORM OF PAYMENT: (Checks NOT accepted) ____Cash _____Money Order (payable to New School Records!) SEND THIS ORDER FORM AND PAYMENT TO: New School Records! Attn: Mail Order P.O. Box 2094 Oregon City, OR 97062 (USA)