Please print this page, fill in the blanks, and mail to:

po box 23293 seattle wa 98102 usa 
 phone/fax: 206.682.8638
 http://www.ivyrecords.com
 e-mail: info@ivyrecords.com
 we encourage correspondence
Artist Title and Format Qty. Price Total
Faith & Disease Lamentations (CD)
x
$12.00
Faith & Disease Insularia (CD)
x
$12.00
Various Artists Genre-fest comp. Vol. 1 (CD)
x
$12.00
Hominy Hominy (CD)
x
$12.00
Ninth Circle Ninth Circle (CD)
x
$12.00 =
Faith & Disease Livesongs: Third Body (CD)
x
$14.00 =
Faith & Disease Fortune His Sleep (CD)
x
$12.00 =
Faith & Disease Beauty & Bitterness (CD)
x
$12.00 =
Faith & Disease Jardeau Blue (7")
x
$5.00 =
Shadow Light Within The Shadow Light (CD)
x
$12.00 =
 
Totals
Number of items:
  Sub-total:  
Accepted methods of payment: money order or personal check (U.S. funds only).
(WA residents add 8.2%)
 
(U.S. postage included ppd.
Canada/Mexico: add $3 per additional.
Foreign: add $4 per additional.)
 
Grand-total:  
Name: Phone:
Address: E-mail:
City: State/Province: Zip/Postal Code: Country: