| UDM - Smash Hits |
$10.00 (CD) |
qty____ |
total _______ |
| End on reality - Check |
$8.00 (CD) |
qty____ |
total _______ |
| Tom Mody - Word |
$8.00 (CD) |
qty____ |
total _______ |
| Archivon - Road To Purgatory |
$10.00 (DVD) |
qty____ |
total _______ |
| Archivon - das Boot DVD |
$10.00 (DVD) |
qty____ |
total _______ |
| Archivon - Live das Boot |
$8.00 (CD) |
qty____ |
total _______ |
| Archivon - Best of '93-'94 |
$8.00 (CD) |
qty____ |
total _______ |
| Harbinger - Video 91 |
$10.00 (DVD) |
qty____ |
total _______ |
| Harbinger - the Inevitable |
$8.00 (CD) |
qty____ |
total _______ |
| Harbinger |
$6.00 (CD) |
qty____ |
total _______ |
| Torrod |
$6.00 (CD or tape) |
qty____ |
total _______ |
| Lynx - Breaking out |
$6.00 (CD) |
qty____ |
total _______ |
|
|
sub total
|
___________ |
|
shipping $1.75 per ietm of FREE with 3+
|
|
shipping
|
___________ |
|
sales tax for New York residents only
|
|
8% NYS Tax
|
___________ |
|
|
TOTAL
|
___________ |
Payment Options.
Pay by check/money order: Print this page and mail to Mody Company address below
Pay by Credit Card: print form and mail or fax to Mody Company, or call or email your order.
Pay by PAYPAL: send money to paypal account tom@modycompany.com
ship to: _________________________________________
address: _____________________________________________________________________
phone: ______________________________ email: __________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
if by credit card: name on card ____________________________________________________
card # _________________________________________________ exp _______ VFC ________
billing zipcode ______________________ signature __________________________________
mail to: The Mody Company 56 West Main Norwich NY 13815 ph-607-336-6233 fx-607-336-6232
