Quixotic production music order form

__Send me this 1 disc #  __   for $39 

__Send me these 4 discs # __   __   __  __  for $99 

__Send me these 8 discs # __   __   __  __  __  __  __  __ for $169 

___Send me all 16 for $299

Use your credit card or send a check or money order to Radio Mall, 2412 Unity Ave. N., Dept. QIXW, Minneapolis, MN, 55422, USA. MN residents, please add sales tax. All payments must be in U.S. funds. Foreign orders, please add $13 for 1 CD, $25 for 5 CDs, $40 for 8 CDs, or $60 for all 16 CDs for shipping. Free shipping in the U.S.

Name_________________________________________ Company ___________________________________

Address__________________________________________________________________________________

City, State, Zip__________________________________________________Country ____________________

Phone________________________ FAX________________________ E-Mail__________________________

How you found us_________________________________________________________________________

____VISA ____ MasterCard ____ American Express/Optima ____Discover

Card#______________________________ Exp.Date______Signature________________________ CCID______

For credit card orders, phone or FAX 763-522-6256 or 800-759-4561.

To go back to the full page, click here.