Your Name: _______________________________________________________
Street Address:___________________________________ Apt/Space_________
City: __________________________State:________ Zip Code:______________
Telephone: (________)___________________________________ Ext.________
Email Address: ____________________________________________________

Payment Information

Make check or money order payable to: Phantom Hill Records

Order Form: Please Indicate Number of albums Ordered at $ 13.95 for CDs, $ 9.95 for cassettes each, plus sales tax and shipping/handling.

Please find my order for ____ CDs at $ 13.95, and ____ cassettes at $9.95 ............. $__________
California Residents Add 8 1/2% Sales Tax ................................................................... $__________
Shipping/handling $ 3.95 for each album (outside USA S/H $6.95)............................. $__________
Total enclosed ................................................................................................................. $__________

Please allow 2 weeks for delivery.

Special Instructions: ________________________________________________

Mail to:
Maureen McCormick
co/ Phantom Hill Records
3445 Keha Drive
Kihei, HI 96753

Note: Money orders are preferred. Personal checks accepted, but please allow for bank clearing time. Make check or money order payable to: