Company Name_________________________________________________________ Your Name_____________________________________________________________ Address_______________________________________________________________ City, State, Zip__________________________________________________________ Phone Days___________________ Phone Nights & Weekends___________________ E-Mail________________________________________________________________ | ||||||
Side | Track | Title | Time | Size | Speed | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
A B | ___ ___ | ________________________________________ ________________________________________ | ________ ________ | 12" | ¤ 33 ¤ 45 ¤ 33 ¤ 45 | |
For each dub plate, give the following for A and B side:
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Tape Formats |
¤ Return tapes with order ¤ Hold tapes for future orders | |||||
Payment: $65.00 for each twelve inch plate $10.00 Shipping/handling per shipping address, Priority Mail within US. |