ORDER FORM

QTY----------DESCRIPTION---------------------------------------------PRICE
___ PRI-001: THE GREEN CHAIR/KID ICARUS split [CD]...................$3.00
___ PRI-002: THE A-SIDES Seeing Suzy/Going Gone [7"].................$4.00
___ PRI-003: MY DAD IS A DINOSAUR s/t [CD]...........................$5.00
___ PRI-005: THE GREEN CHAIR Michaelangelo [CD]......................$5.00
___ PRI-006: THE SWIMS Snackfood Junction [CD & 7"]..................$5.00
___ PRI-007: OKAY PADDY Hunk [CD]....................................$6.00
___ PRI-008: THE COMPLETE STRATEGIST We Care [LP]....................$5.00
___ PRI-009: THE LAMPSHADES Sunshine [CD]............................$5.00
___ PRI-010: THE A-SIDES Hello, Hello [CD]..........................$10.00
___ PRI-011: OKAY PADDY The Cactus Has A Point [CD].................$10.00
___ PRI-012: THE GREEN CHAIR Notes Towards A 24-Hour City [CD]......$10.00
___ PRI-013: EVERYBODY KNOWS THIS IS NOWHERE Compilation [CD].......$10.00
___ PRI-014: THE SWIMS Ride Of The Blueberry Winter [CD]............$10.00
___ PRI-015: NEW MOTELS Domestic Life [CD]...........................$6.00
___ PRI-016: OKAY PADDY Where You Went? [CD].........................$6.00

(non-Prison Jazz releases):

___ THE SWIMS Ride Of The Blueberry Winter [LP].....................$10.00
___ THE COMPLETE STRATEGIST We Care [CD].............................$5.00

ANYTHING ELSE:

QTY-SIZE---------------DESCRIPTION----------------------COLORS-------PRICE
___ ___ _____________________________________________ ___________ ________
___ ___ _____________________________________________ ___________ ________
___ ___ _____________________________________________ ___________ ________
___ ___ _____________________________________________ ___________ ________
___ ___ _____________________________________________ ___________ ________


NAME:___________________________________________________________
ADDRESS:________________________________________________________
________________________________________________________________
CITY:___________________________________________________________
STATE:_________ ZIP:__________ E-MAIL:__________________________

PLEASE MAIL THIS FORM, ALONG WITH A CHECK OR MONEY ORDER, TO:

PRISON JAZZ RECORDS
431 BIRCH ST.
SCRANTON, PA 18505

SHIPPING CHART:
$00.01 - $10.00 = $1 SHIPPING
$10.01 - $20.00 = $2 SHIPPING
$20.01 - $30.00 = $3 SHIPPING
$30.01 - $40.00 = $4 SHIPPING
$40.00 AND UP   = $5 SHIPPING
Please add $5.00 to cover shipping costs outside of North America.  Thanks for ordering!