HYPNOS / P.O. Box 6868 / Portland, OR 97228

COMPACT DISC ORDER FORM

Mail with payment (US bank check or money order or credit card information),
or order online at www.hypnos.com

artist title $ total

01 _____________________________________________________________

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Subtotal $___________

US Shipping ($3 per order) Shipping +___________

Canadian/Mexican shipping ($5 per order)

Europe/UK shipping: 1-3 CDs $6.00 per order, 4+ CDs $9.00/order

Japan/Austrl./NZ shipping: 1-3 CDs $7.00 per order, 4+ CDs $11/order

TOTAL INCLUDING SHIPPING $___________

(orders MUST include full payment for shipping)

REMIT TO: YOUR DELIVERY ADDRESS:

Hypnos Mail Order __________________________

p.o. box 6868 __________________________

Portland, OR 97228 __________________________

USA

___ check enclosed

or

___ bill my credit card (Visa/MC/Amex only)

card # ___________ / ___________ / ___________ / ___________

exp.date ____/ ____ signature_____________________________

If credit card billing address differs from delivery address,

please also list billing name and address.