SCREAMING POLITICIANS ORDER FORM



Use your browser to print out this order form and mail it to the address shown below.

MAIL to:

TOPICAL DISCS
7453 Sausalito Avenue
West Hills, California 91307

Please make checks payable to Topical Discs.

Allow 2 to 4 weeks delivery. Thank you.
 
 
Description Quantity Price Total
"Manumit" CD ____ 12.95 _______
"Manumit" CD (with $2.00 student discount) ____ 10.95 _______
"Screaming Politicians" CD
____
10.95
_______
T-Shirt (large only) ____ 14.95 _______
Free Bumper Sticker (one per order) ____ 0.00 _______
Add Shipping ____ 3.00 _______
FINAL TOTAL     _______
 
Ship To:
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Address: _____________________________________________
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Phone: _________________    Email Address: _____________
School Name: _____________________________________________