Name:___________________________________________________________________

Address:________________________________________________________________

City:__________________________________________ State:__________________

ZIP Code:__________________________  Country:___________________________

E-Mail:____________________________  Phone Number:______________________


CD = $10    CDep = $6    Compilation = $5

ITEM(S) YOU WANT:                      SIZE(if any)  QUANTITY   PRICE $

1)___________________________________  ____________  ________   $_______

2)___________________________________  ____________  ________   $_______

3)___________________________________  ____________  ________   $_______

4)___________________________________  ____________  ________   $_______

5)___________________________________  ____________  ________   $_______

6)___________________________________  ____________  ________   $_______

7)___________________________________  ____________  ________   $_______

8)___________________________________  ____________  ________   $_______

9)___________________________________  ____________  ________   $_______

10)__________________________________  ____________  ________   $_______

Total Number of items:___________  Total Price Without Shipping $_______

Shipping Charges for Merchandise (look below): $______

USA                   CANADA                INTERNATIONAL
1 item   = $2.60      1 item   = $3.20      1 item   = $6.20
2 items  = $3.40      2 items  = $4.20      2 items  = $7.80
3 items  = $4.20      3 items  = $5.60      3 items  = $9.00
4 items  = $5.00      4 items  = $6.60      4 items  = $10.80
5 items  = $5.80      5 items  = $7.40      5 items  = $12.20
6+ items = $6.60      6+ items = $8.20      6+ items = $14.80

Total Price: $___________._______


FORM OF PAYMENT:

____Cash      _____Money Order(payable to Ryan Lassi)


SEND THIS ORDER FORM AND PAYMENT TO:

Over Giver Music
Attn: Mail Order
P.O. Box 847
Tualatin, OR 97062
(USA)