Thelonious Records Order Form

THELONIOUS RECORDS ORDER FORM

Click Here to Print This Page then Fax this Form for Ordering
24 hour fax and phone order line: 1- 877 MONKONE (1- 877 666 5663)
You can also mail this form to: 2603 ELECTRIC AVE., SUITE 4, PORT HURON, MI 48060

* Required areas in order to process	Customer # PO # Priority Code: [ ] New Acct
* Required areas in order to process	* Billing Information	*Shipping Information (if different)*
* Name
*Company*
* Address1
*Address2*
* City
* State/Zip /Country
* Phone/Fax

*QTY.*	*Product Code*	*Description*	*size/color*	*x Unit Price*	*= Item Total*

Sub-Total
Michigan Customers... You must add Local Sales Tax of 8%
$4 - USA ..... $6 - CANADA ..... $8 - INTERNATIONAL Shipping
Order Total

VISA Master Discover Card Number:	Sign Here:
Valid thru Date:	Name on Card:

PRODUCT CODES AND PRICES

TSHG . . . . . . . .TS Monk Band "Higher Ground" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$13.99
TMNY . . . . . . . .Thelonious Monk Live in New York Vol. 1&2 . . . . . . . . . . . . . . . . . . . . . .$24.99
TMTS . . . . . . . . Thelonious Monk "Transforms" I'm Getting Sentimental Over You . . . . $24.99
TMSH . . . . . . . .Thelonious Monk Live in Stockholm Vol. 1&2 . . . . . . . . . . . . . . . . . . . . .$24.99
TMLP . . . . . . . . Thelonious Monk Live in Paris Vol. 1&2 . . . . . . . . . . . . . . . . . . . . . . . . . $24.99
TMLP3 . . . . . . . Thelonious Monk Live in Paris Vol. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . $13.99
TMHS . . . . . . . .Thelonious Monk HoloSticker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1.99
TRHP . . . . . . . . Thelonious Monk HoloPin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$4.99