To place an order by check or money order, print, fill out and mail the form
below including payment to: (Please make checks payable to Sphincter Records, Inc.)

Sphincter Records, Inc.   2476 Bolsover St.   Houston, Texas 77005   (713) 521-7700

SHIPPING RATES
Domestic
First item $3.50       Additional $1.00           UPS 2-3 day $10 in addition to regular S&H.

International
First item $7.00       Additional $2.00
We only accept international money orders in US dollars.
Because foreign shipping rates may vary, any additional charges and applicable
import duties and taxes must be paid by recipient.

BILLING ADDRESS:

Name: ______________________________________________________________________________

				

Company: (if applicable): __________________________________________________________



Street Address: ____________________________________________________________________



City: ____________________________  State: _____  Zip/Postal Code___________________



Daytime Phone # (for shipping):_____________________   Country:_____________________



E-mail Address: ____________________________________

 

SHIPPING ADDRESS:

Shipping Name: _____________________________________________________________________



Street Address: ____________________________________________________________________



City: ____________________________  State: _____  Zip/Postal Code___________________



Country: _______________________________________

 

Item Number        Price            Quantity     Total Price

 

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                                Itemized Total: ____________

                                  

                                 Shipping Cost: ____________

                                  

                                   Grand Total: ____________