BRM RECORDS ORDER FORM

 (PRINT THIS FORM AND MAIL W/CHECK OR MONEY ORDER)
Make Check Payable To: BRM Records

 PRODUCT NAME

Price

Quantity

Amount

 CD    -     Boat Logic by Bruce Myers
9.99
 CD    -     Stinkpot & Rags by Bruce Myers & Crew
9.99

 Cassette - Stinkpot & Rags by Bruce Myers & Crew
2.00

 Stinkpot & Rags T-Shirt:   (Please Circle Size and Color)
   (Size:  S  /  M /   L )    (Color:   Purple  /  Gray )
   *Small is Not Available in Gray

14.99

 

SPECIAL COMBINATION OFFER

 "Boat Logic" CD and "Stinkpot & Rags" CD
15.99
 

TOTAL

Discount Code (if applicable) _________________               (-10%)

Md. Residents Add Sales Tax (5%)

Shipping & Handling
Under $15 = $3.00 | $15 - $29.99 = $4 | $30 - $49.99 = $5 | $50 - $99.99 = $6
$100.00 and Over = FREE

Total Enclosed

 SHIP TO:
 ADDRESS:
 CITY:  STATE:  ZIP:
 COUNTRY:
Mail This Completed Form to Postal Address:
BRM Records 
2612 Masseth Avenue
Baltimore, MD 21219-1809, U.S.A.
   Make Check or Money Order Payable To: BRM Records
BruceMyersMusic.com || StinkpotAndRags.com || BoatLogic.com

THANK YOU FOR YOUR ORDER