BRENT JESSEE RECORDING & SUPPLY, INC. FAX/MAIL ORDER FORM
                   (Print a copy of this order form for FAX or mail-in orders)
                                     FAX: 847-963-1568 



NAME______________________________________________________

ADDRESS___________________________________________________

CITY_____________________________STATE______ZIP___________

PHONE____________________________E-MAIL___________________

PART #___________DESCRIPTION_______________________QTY___PRICE____TOTAL_____

PART #___________DESCRIPTION_______________________QTY___PRICE____TOTAL_____

PART #___________DESCRIPTION_______________________QTY___PRICE____TOTAL_____

PART #___________DESCRIPTION_______________________QTY___PRICE____TOTAL_____

PART #___________DESCRIPTION_______________________QTY___PRICE____TOTAL_____

PART #___________DESCRIPTION_______________________QTY___PRICE____TOTAL_____
ILLINOIS RESIDENTS ONLY: Add 10% tax to your order

SUBTOTAL____________________

TAX__________________________

SHIPPING_____________________

TOTAL_______________________
USA SHIPPING:  USPS Mail $13.00 up to 2 lbs. with insurance
for up to $50 in merchandise included, for additional coverage add
$1 per $50 in merchandise over the first $50.  
CANADA: $33 USD flat rate USPS priority mail up to 4 lbs.
INTERNATIONAL: $42 USD flat rate USPS priority mail up to 4 lbs.

Personal check, cashier's check, money order, business check or traveller's cheques accepted.
We also accept Master Card, Visa, American Express, or Discover credit
cards.  Please indicate name on card, card number, expiration date,
and the three digit number on the back of the card.

CREDIT CARD ORDERS ONLY:

CARD TYPE_______________________  CARD NUMBER________________________________

EXPIRATION DATE_________________  3-DIGIT CODE (on back of card)_____________

PRINT A COPY OF THIS ORDER FORM, FILL IT IN, AND FAX/MAIL/EMAIL WITH YOUR PAYMENT TO:
BRENT JESSEE RECORDING
1590 W. ALGONQUIN RD. #111
HOFFMAN ESTATES, IL  60192

FAX ORDERS: Please print out this form, fill out in dark ink including your
credit card information, and fax to 847-963-1568, 24 hrs. a day, any day.

For full warranty and return policy, please see www.audiotubes.com/warranty.htm online.