Alea Publishing & Recording Order FormIt's easy! Print this form, fill out, and send along with your payment to: 3701 Tacoma Ave S Tacoma, WA 98418 You can also e-mail your order or inquiry! Please provide the following information about yourself: Name ___________________________________ Address ___________________________________ City ___________________ State/Province _______________ Zip/Postal Code ____________ Country ______________ Phone number and/or e-mail - in case we need to contact you about your order: ___________________________________ If you would like us to ship to a different address, please include that information below: Name ___________________________________ Address ___________________________________ City ___________________ State/Province _______________ Zip/Postal Code ____________ Country ______________ Order Information
_____ My check is enclosed (made out to "Alea Publishing & Recording") _____ Please charge my credit card: Name as it appears on card: _____________________________ Card # _________________________ Exp. Date _________ Signature ______________________________________ Please provide card holder's address if different from
order/shipping address:
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