Print and fill this form out & Mail To:
Music Buster Records
P.O. Box 53856
Baton Rouge, LA.   70892 / 3856
Thanks !

 I'm paying by:
Check
US Postal Money Order

Music Buster Records
www.musicbusterrecords.com
dva1@bellsouth.net

Merchandise Order Form

Name:
Address:
City: State: Zip
Country(If outside of USA):
Phone #: Email:

 If paying by check please include

[FrontPage Save Results Component]

Dr.Lic.#:Exp.Date:DOB:

A $15.00 NSF charge applies

Hook me up with: 

Item #      Description           Type              Price*
-------------------------------------------------------------
 
______    ___________________________________    $__________
 
______    ___________________________________    $__________
 
______    ___________________________________    $__________
 
______    ___________________________________    $__________
 
                                         TOTAL:  $__________

*all prices include tax and S&H
Please allow 2 to 3 days delivery
THANKS AGAIN!
Music Buster Records
Bustin' Loose