Please print out this form , make a copy for your records, fill it out and send with your payment to:

Richard Norton

1435 Prospect Ave-D

Placentia Ca 92870

Phone 714.528.1970 Mon-Fri. Pacific Time

 

Age verification: some of the artwork sold is intended for adults over the age of 18 years. Your signature is required to verify that you are over 18 years of age.

Signature: _______________________________________If you pay by credit card we need this

Items ordered__________________________________________ How many___________

Compact Disc (   )     Tape (   )      Poster (  )   T-shirt (  )

Payment By :      check (     )    fax (       )   Visa (   ) Mastercard (  ) Other (   )_______________________

Name on card_____________________________________________

Account #________________________________________________

Expiration date on card__________________________________________

(note:  send payment  by snail mail with check or money order ONLY ).

DO NOT  SEND CASH,

DO  NOT FAX CHECKS UNTIL WE ARE SET UP TO ACCEPT THEM)

Ship to (please print clearly)

Name_______________________________Address_______________________________________

City________________________________State_______________Zip_____________________

Country (if outside the US)_____________________________Date of order_________________

Phone (in case we have a question about your order)_____________________________

Email___________________________________we need this for our records . We will email you when we ship your product

Tell us how you heard about us____________________________

THANK YOU VERY VERY MUCH

Questions? Your satisfaction is our main concern. We are happy to work with you anyway we possibly can. Since we operate a mail-order business we keep unusual hours. Please write or email with any questions. If your order was damaged during shipping take it to the post office and contact us telling what has happened.