Alias Records Mail Order Form

Name______________________________________________________________________
Address____________________________________________________________________
City_____________________________State_______Country__________Zip____________
Phone Number:_____________________ Email:___________________________________
Check One:  (   ) Visa   (   ) Mastercard  (   ) Check/Money Order (Make payable to Alias Records)
Visa/Mastercard Number______________________________________________________
Expiration Date___________________Cardholders Name___________________________

Credit Card Signature_________________________________________________________

      For T-Shirt Orders Only      
Item # Description Format Size Color Qty Price Total
               
               
               
               
               
               
               
               
               
               

USA Orders: Postage paid first class. Allow 4-6 weeks for delivery
Foreign Orders:Allow 4-6 weeks for delivery (See below for specific charges)
Canada/Mexico: $2.00 per item air mail ($1.50 for each 7" single)
Europe: $3.00 per item air mail ($2.00 for each 7" single)
Pacific Rim: $4.00 per item air mail ($2.00 for each 7" single)

 Subtotal
Shipping Cost
Foreign orders only
CA Residents Add
8% Sales Tax
Your wallet is lighter by

Mail this form to: Alias Records  10153 1/2 Riverside Dr. Suite 115  Toluca Lake, CA  91602

AliasRecords.com