Order Form
Today's Date:
/
/
First Name
Last Name
Bill To Address
City
State
Zip
Ship To Address
City
State
Zip
Phone Number
(
)
-
Email
How did you hear about us?
Visa
Mastercard
/
/
/
Exp
/
Discover
Check
Money Order
Qty
Artist
Description (put # in for specials)
CD
Tape
Price ea.
Subtotal
2
Heywood Banks
Picky Picky Picky (This is only a example, this line is ignored)
20.00
40.00
Shipping: $3.00 per order and add $1 per item in the order
Canadian Destination Orders Please Add $1.50
Destinations Outside of North America Orders Please Add $5.50
Sub-Total
Tax 6% (MI Only)
Total
Mail Order Form & Payment to:
Comedyhome.Com
P.O. Box 484
Howell, MI 48844
