Print out this form, fill it in and mail or fax it to us:

SUNDAZED MUSIC, INC.
P.O. BOX 85, COXSACKIE, NEW YORK 12051

TOLL-FREE ORDER HOTLINE: (800) 295-8079

QUESTIONS? PHONE (518) 731-6262

24-Hr. FAX: (518) 731-9492 / E-MAIL ORDERS: mail@sundazed.com

Name:_____________________________________Nickname:___________________

Address:_______________________________________________________________

City/State/Zip: __________________________________Country: _________________

Phone: ________________________________________________________________


 Qty.  Artist/Title/CD/LP/7"/other  Price  Total
       
       
       
       
       
       
       
       
       
       
       
       
       

 Subtotal

 
 NYS State residents only! You know the drill. Please add 8.25% sales tax. (Dust off the ole abacus, Empire State. Outta state folks can skip this square)  
Please refer to ordering infomation and choose one of the following:
__ 1st Class Mail __ UPS __ 2-Day Fedex
Canadian and Overseas customers: __ Surface Mail __ Air Mail		  Postage  

 Grand Total:

  

Method of Payment: __Check __Cash __Money Order __I.M.O.

Credit Card: __Mastercard __Visa __AmEx __Discover

Credit Card Number:_______________________Exp. Date_______________