DETHKORPZ MERCHANDISE ORDER FORM
            http://come.to/dethkorpz
 ______________________________________________
| CD title                         |  quantity  |
|__________________________________|____________|
|                                  |            |
|_Muffalo__________________________|____________|
|                                  |            |
|_Apocalypse 1999 6661_____________|____________|
|                                  |            |
|_Dethkorpz IV: The Reserection____|____________|
|                                  |            |
|_Metal Tit________________________|____________|
|                                  |            |
|_Blood Whips & Vomit______________|____________|
|                                  |            |
|_Evil Sex Wizard__________________|____________|
|                                  |            |
|_The Beast of Lord Bryon__________|____________|
                                   |            |
      TOTAL NUMBER OF CD's ORDERED |            |
                                   |____________|
  Prices                           |            |
  ----->   Write in price of CD's: |            |
1 CD = $8      (shipping charges   | $          |
2 CD = $15     in US are included) |            |
3 CD = $21                         |____________|
4 CD = $27
5 CD = $32                         Include check
6 CD = $37                        or money order
7 CD = $40                        with this form
each additional CD: add $5

ADDRESS YOU WANT YOUR CD'S SHIPPED TO:

Name: __________________________________________

Street: ________________________________________

City: ________________________ State: __________

Zip code: ____________________ Country: ________

Email address (optional) _______________________

INTERNATIONAL ORDERS OUTSIDE OF US, CANADA, MEXICO
PLEASE INQUIRE FOR SHIPPING RATES FIRST BY SENDING
EMAIL TO: dethkorpz@beer.com

Mail this form with your payment to:

Russ Perry Jr. 
2175 South Tonne Dr. #114 
Arlington Heights, IL  60005  USA 

Make check payable to Russ Perry jr.
Allow at least 4 to 6 weeks for delivery