Loup-garous Productions
 Generic Order Form
CDs
$15.00		 Cassettes
$10.00		 LPs
$10.00
First Name Last Name
Address   Apt. /Suite
City     State        Zip Code
Email Address
Album Title / Format (CD, Cassette, or LP) Quantity Price Amount
   

$

 $
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
       
SUBTOTAL     $
SHIPPING & HANDLING:  U.S. $3.00 / CANADA $4.00 /  OVERSEAS $6.00
 MULTIPLY THE SHIPPING & HANDLING COST ABOVE BY THE NUMBER OF ITEMS YOU ARE ORDERING		     $
GRAND TOTAL     $

Please return this form along with your check or money order made payable to Loup-garous Productions to:
Loup-garous Productions
27 Washington Square North, # 4D
New York, NY 10011
Please allow 6-8 weeks for delivery  /Return to www.danlevinson.com / Return to www.rosymchargue.com