Welcome to Waves Music

performers ORDER FORM

The National Record Mart Collection
Box 213
Pacific Palisades, CA 90272
310-283-1861 voice
or fax at 702-360-5007
http://ww2.choicemall.com/performers/

Name :                                                                                            

Address (No PO Boxes, Please) :
City: State :
Zip :
Country : Postal:
Where did you receive this brochure? Phone:
Item   QTY
Price
       
       
       
       
       
       

 
Subtotal
Method of payment : No Cash or CODs.
Please include applicable sales tax and shipping charges.
TX or CA State
Sales Tax
(8.25%)
PA is 6%

[  ] Check enclosed - payable to RSU - The Performer's Collection

Please bill my [   ] Visa [  ] MC  [  ] AMEX  [  ] Discover

Name on the Credit Card :_______________________
Account Number : _____________________________
Exp. Date : _______

Shipping/Handling
Signature (required for credit purchases)
Total
Catalog