CD ORDER FORM

Please provide the following contact information:

First Name
Last Name
Middle Initial
Title
Organization
Work Phone
FAX
E-mail
URL

Please provide the following ordering information:

QTY	DESCRIPTION
	The First Sign	$5.00AUD ea
	Black Label Edition	$10.00AUD ea
	Whole Lotta Love EP	$10.00AUD ea
	Med T-Shirt	$25.00AUD ea
	Large T-Shirt	$25.00AUD ea
	X-Large T-Shirt	$25.00AUD ea
	Black Cap	$25.00AUD ea
	Blue Cap	$25.00AUD ea
	Flame Cap	$25.00AUD ea

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Orders in Australia please add $2.50 for shipping
Orders outside Australia please add $7.00AUD for shipping

TOTAL AMOUNT BY BANK CHECK OR MONEY ORDER

AUD 

Please fill out this page and send a bank check or money order in $AUD to:

The Sign
11 Circle St.
New Norfolk, Tasmania 7140  Australia