Please print and complete this form.
Mail w/check or money order to:

Mud Band
951 Second Avenue
Second Floor
New York NY 10022


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*            Mud Band Products Order Form            *
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* Name						     *
* -------------------------------------------------- *
* Address					     *
* -------------------------------------------------- *
* City		            State	ZIP          *
* -------------------------------------------------- *
* Country                                            *
* -------------------------------------------------- *
*                                                    *
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*       Product       | Quantity  |  Price  |  Total *
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* Mud Band Live!  CD  |           |   $12   |        *
* ---------------------------------------------------*
* Now w/More Salt CD  |           |   $10   |        *
* ---------------------------------------------------*
* Mud Band Live! Tape |           |   $ 7   |        *
* ---------------------------------------------------*
* Now w/More Salt Tape|           |   $ 5   |        *
* ---------------------------------------------------*
* U.S. shipping       |           |   $ 4   |        *
* ---------------------------------------------------*
* International shipping          |   $10   |        *
* ---------------------------------------------------*
* Subtotal                                  |        *
* ---------------------------------------------------*
* Sales tax (NY residents only)   |   8.5%  |        *
* ---------------------------------------------------*
* TOTAL                                     |        *
* ---------------------------------------------------*
* Make checks payable to:   Parsons Communications   *
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Thank You!