Outer Realm Records Order Form

Name:____________________

Adress:__________________

City:______________   State:____   Zip Code:_________

Country:______________
 
Album Title Artist Name Price
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Sub-Total: =
Shipping: +
Total: =

Shipping and handling within the United States is included in the price.
For International shipping:     $3.00 for orders of 1-2 Units.
                                $6.00 for orders of 3-4 Units.

Outer Realm Records ONLY accepts Check and Money Orders.

Please send you payment and respective order form to:
Outer Realm Records
3026 Dugway Rd.
Richmond, VT 05477