HYPNOS mail order  
P.O. Box 6868  
Portland, OR 97228
 

COMPACT DISC ORDER FORM 
(mail with payment -- US bank check or money order, or mail
 or fax with credit card information)

   artist       title            price ea  quantity  $ total
01 _________________________________________________________
02 _________________________________________________________
03 _________________________________________________________
04 _________________________________________________________
05 _________________________________________________________
06 _________________________________________________________
07 _________________________________________________________
08 _________________________________________________________
09 _________________________________________________________
10 _________________________________________________________

                                        Subtotal $__________

       add US Shipping (now just $3 per order)   +__________

  add Foreign Shipping  $5 per order to Canada   +__________
                    or  $7 per order Japan/Mexico/Europe 
                    or  other areas please inquire for cost)

                      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              ____________________________

                    Order Date: ____________________________

___ check enclosed    
OR      
___ please 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.