Richard James MailOrder Form

To use this form you must print a hardcopy
Press (Ctrl+P) on PCs , Press (Cmd+P) on a Mac

Complete the form and Mail, along with your Check or Money Order, to:
RAJ Enterprises 5283 Countryside Drive., San Diego, Ca. 92115

**Customer Information & Shipping**
CUSTOMER Information Customer Name: ________________________ Street Address: _________________________ City:__________________________________ St./Province_______ Zip Code: __________Country: __________ Telephone:____________________________	SHIPPING Information Name:________________________________ Street Address:________________________ City:_________________________________ State/Province:_________________________ Zip Code: ___________Country:__________
Special Instructions:_________________________________________________________________________ ____________________________________________________________________________________
E-Mail Address:________________________________
Payment Terms: (Circle One) Check Money Order	Allow an extra week for check-paid orders

Shipping Rates

All Shipping = $3.00

ORDER FORM

QTY

DESCRIPTION

COST - Includes Tax

SHIPPING

TOTAL

"Christmas Joy"

$15.00

$3.00

$18.00

"R. J. Demo"

$15.00

$3.00

$18.00

"As In A Dream"

$15.00

$3.00

$18.00

"Jazz Reflections"

$15.00

$3.00

$18.00

Grand Total $_________________