MEMBERSHIP APPLICATION

your first .............................. an last names

e-mail address

street ( or shipping ) address

city,......................................state,...................................and zip code

• The Cave Dwellers' "After all these years, we're still livin' in caves?"
• Mother Nature's Suns' "You Are Here ...."
• A Bizarre Bazaar's "Join the Free Association."
• Falling Angels' "Watch For Falling Angels!"
• R.S.D.'s "The Rough & Sinewy Dabblers"
• Yzark's "Orwellian Tendencies"
• cd d:\industrial\noize\pollution
• The Electric Slugs' "Join The Slugfest."

  Please choose your listening format:

• Cassette Tape
• Mini-Disc (Sony compatible. Adds $7 to your order.)
• Both (or other custom orders ... we can make it any way you like.) Please describe your special request below:

  Please choose from the following options or skip to "payment method":

• Save$1.00 per album by downloading your own album cover. Instructions will be e-mailed to your mailbox. (This is the only option that applies to Mini-Discs.)
• If you have selected two or more albums, you may opt to have an album recorded on each side of the tape. Though you will loose some bonus tracks, you will save $4.00 for every pair (that means two albums would be $10.00... or just 8 bucks if you download your own covers!)
• Though we use the highest quality normal bias cassette tape, you may wish to upgrade to the highest quality chrome (type II) tape for only $2.00 more (if you choose the above two albums on one tape option, it covers both albums.)

  ---

  Please choose your payment method:

  Master CardVISA Expiration Month: JanFebMarAprMay< option>JunJulAugSepOctNovDec Expiration Year: 9596979899< P> MC/Visa Credit Card Number:

  ---

  Snailmail. Payment instructions will follow.

  ---

  Please press this button
  to join the fun :

  
  

  Thank you.