PRINT THIS FORM AND MAIL IT WITH YOUR ORDER!

"FREAK" a CD by Honcho Wonko

Quantity ordered_______@ U.S.$10.00 per Compact Disc

"INNERGALACTIC EXPERIENCE" a CD by Trancefusion

Quantity ordered_______@ U.S.$10.00 per Compact Disc

TOTAL$_________________________________________

Please Send Check or Money Order Payable To "John Baltic" TO:

J. D. B.

46694 Country Lane

Macomb, Michigan 48044

Please type or clearly print your shipping address here:

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Please include a working email address/phone number below in

case we need to contact you for any reason regarding your order:

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Shipping is free to anywhere in the United States of America.

Please inquire via email for shipping rates to any other countries.