theStarport.com / Steve_Savitzky / preorder / form.html

Pre-order Form

for Coffee, Computers, and Song!

and About Bleeding Time!

   Price list:
Item Price
each 		Quantity Total   
Basic Preorder Package:
Coffee, Computers, and Song CD
About Bleeding Time bonus disk 		$20 USD    
Shipping outside the US and Canada $5 USD    
Total enclosed:  

 

   Shipping Information:
Name  
Address  
   
City  
State, postal code  
Country  

   Contact information and special instructions:
email, phone  
special instructions  
(sign to, gift message, etc.)
 
 
 
(I need an email address so I can send you a confirmation.)

I hope to be shipping sometime in March or April of 2007.

Mail form and payment to:  Steve Savitzky
  343 Leigh Ave.
San Jose, CA 95128, USA
email questions to:  <steve @ theStarport.org>
$Id: form.html,v 1.4 2007-02-19 03:25:05 steve Exp $
Steve Savitzky <steve @ theStarport.org>