GHG RECORDINGS ORDER FORM
COMPACT DISC = $15.00 EACH | CASSETTE TAPES = $10.00 EACH
SHIPPING INFORMATION
NAME
STREET ADDRESS
CITY
STATE/POSTAL CODE
COUNTRY
PHONE OR EMAIL
RECORDING INFORMATION
THE GAS HOUSE GANG'S FIFTH	 CD    |    QTY ________
SOME CHILDREN SEE HIM...	 CD    |     TAPE    |    QTY ________
FACE THE MUSIC	 CD    |     TAPE    |    QTY ________
A LITTLE NIGHT MUSIC	 CD    |     TAPE    |    QTY ________
OUR ROUGH AND TUMBLE BEST	 CD    |     (tape not available)   |    QTY ________
ORDER INFORMATION
SHIPPING/HANDLING	$3.00    (PER ORDER NOT PER ITEM)
TOTAL AMOUNT ENCLOSED
PAYMENT INFORMATION
CHECK/MONEY ORDER #
VISA/MASTERCARD #
EXPIRATION DATE
NAME ON CARD
SIGNATURE
PRINT AND MAIL TO
THE GAS HOUSE GANG | 138 COLLEGE | ST. CHARLES, MO. 63301