~ORDER FORM~

Cowboy Capital Records
Phone: 254-965-4132

Foreign orders payable by International Money Order in U.S. Funds only.

Please Print this page and mail your order to:

Cowboy Capital Records
4493 U.S. Hwy. 67
Stephenville, TX 76401


SHIP TO:
Name     _______________________________________

Address  _______________________________________

City        _______________________________________

State/Country  ___________________________________

Daytime Phone:  _________________________________

Quantity

               Artist                 

                      Title                     

 CD  

  Price ea.  

       Total      

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.
.
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Shipping Costs:

.

Item

INSIDE
Continental USA

OUTSIDE
Continental USA

Sub-Total

$
CD

$3.00 each

$5.00 each

     

+6.75% tax
[Texas residents only]

$
 

 

 

Shipping Costs
(see schedule at left)

$
     
     

 GRAND TOTAL

$