3PM ORDERFORM

Instructions: Press print on your web tool bar and print this form out. Fill in the information and send a check or money order (no cash please) to . Make checks payable to Gino Riccardi :

3PM RECORDS

PO BOX 262

NEW YORK, NY 10276

(PLEASE ALLOW 1-2 WEEKS FOR DELIVERY)

Name _________________________________________________

Address________________________________________________

_______________________________________________________

_______________________________________________________

Items:

Quantity

Blanche Album ................................................................................. $ 11.99       ______

T-Shirt.................................................................................................... $ 15.00     ______

+       

Shipping       $ 4.00   

Total             $_____