Order Form for Conversation 20

Please print this page for mail or fax orders.

Customer Information

Name & Address:

________________________________________

________________________________________

________________________________________

________________________________________

Order Details

Texts, Sex, & Sanctity (CON-20)

Please send me ___ copies on cassette at $7.00 each

Please send me ___ copies on CD at $9.00 each

Sub-Total: $_______

Sales tax (Virginia only: add 4.5%) $_______

Shipping & handling (see chart below) $_______

Canada add $3; Foreign add $10 $_______

Total: $_______

Shipping & Handling

Order total:

Up to $9 - add $3.00

$10 to $19 - add $4.00

$20 to $29 - add $5.00

$30 to $39 - add $6.00

$40 & up - add $7.00

Payment Information

__ Check or money order enclosed.

__ Charge my: __Discover __Visa __MasterCard __American Express

Credit card number:_______________________________________________

Expiration date:____/____ Signature__________________________________

Name on credit card: __________________________

Daytime phone number:_________________________

Credit card billing address (if different from above):

__________________________________________________

Send to:

MARS HILL AUDIO

P.O. Box 7826

Charlottesville, Va. 22906-7826

Or fax to:

1.434.990.9090