ADUINC ORDER FORM PAGE

Use the Following Form to Place an Order

Product Selection:
 Qty  Description
Leone Stars USA 12" Disco vinyl by K.A.OJU... $10.20
Let's get the party started LP cassette by GFT.... $13.26
Lovers double hits cassette by Fanta Kay ... ... $9.03
  Lovers LP cassette by Fanta Kay..............$13.26
  Lovers LP vinyl by Fanta Kay.................$12.20
  Total number of items(item Price includes shipping & handling)

 Total Price(shipping & handling is Included).....$

Delivery Information:(PLEASE FILL OUT BEFORE SUBMITTING THE ORDER)

Name:
Company:
Mail Address
Ship Address
City: State:
Zip Code: Country:

Voice Phone:
Fax:
Email:
 

Billing Information:  YOU CAN ALSO PRESS THE PLACE ORDER BUTTON
AT THE BOTTOM OF THIS PAGE
AFTER YOU FILL OUT THIS FORM
THEN MAIL CHECK OR MONEY ORDER
FOR THE AMMOUNT
PLUS $3.00(each item) FOR SHIPPING AND HANDLING TO:
ADU RECORDS 1625 MARION STREET NW WASHINGTON DC 20001-3417 U.S.A
(YOUR ORDER WILL BE SHIPPED WITHIN 24 hours)
    Credit Card: 
Card Number: Exp: (MM/YY)
Cardholder Name:
check or money order:

Bank Name: 
City/State:
Check Number:
Fraction code(at the top of check)
It looks like the following:xx-xxx/xxx:
Account Number:
Routing Number(the numbers printed at the bottom of the check)
Amount of check $
Note: There is a $25.00 charge for returned checks.
YOU CAN MAIL THE CHECK OR MONEY ORDER TO:
ADU RECORDS 1625 MARION STREET NW WASHINGTON DC 20001-3417 U.S.A
AFTER YOU PRESS THE PLACE ORDER BUTTON OR PRINT THIS PAGE
PLEASE FILL OUT THE FORM AND MAKE SURE IT IS COMPLETE
BEFORE YOU PRESS THE PLACE ORDER BUTTON
Your order will be shipped within 24 hours. THANK YOU.