ROB TOBIAS and MAXIMO PRODUCTIONS
MUSIC ORDER FORM

Print out this form and send it along with your payment to:
Maximo Productions
1925 Adams St., Eugene, OR 97405

I would like to order the following

World in the World - CD

 $15  Qty ___ $________

World in the World - Cassette

 $10  Qty ___ $________

Sparks - CD

 $15  Qty ___ $________

Sparks - CD

 $10  Qty ___ $________

Bagel Roots & Water Dogs - CD

 $15  Qty ___ $________

Bagel Roots & Water Dogs - CD

 $10  Qty ___ $________

Constant Rain - CD

 $15  Qty ___ $________

Constant Rain- CD

 $15  Qty ___ $________

Subtotal

     Subtotal $_____

Shipping and Handling for one item is $2 (add $.50 for each additional item)

     $________

TOTAL

     Total $________
Billing Information
Name    
Street Address
   
City State Zip
   
Telephone      
Payment Method
___ Check ___ Money Order  ___ COD