Order Section (PLEASE PRINT):
|---------------------------------------------------------------------------------| | | | |_________POSTAGE__________| | | Item | Qty | Cost | US | Canada | Oversea | Amount | |---------------------------------------------------------------------------------| | HERC Membership or renewal | | | | | | | | 6 Newsletters | | $15.00 | - | - | | | |---------------------------------------------------------------------------------| | Paladin of the Lost Hour | | | | | | | | Compact Disc | | $15.00 | $2.00 | $2.00 | $4.00 | | |---------------------------------------------------------------------------------| | Jeffty is Five | | | | | | | | Cassette | | $6.00 | $1.00 | $1.00 | $3.00 | | |---------------------------------------------------------------------------------| | On the Downhill Side | | | | | | | | LP | | $8.00 | $2.00 | $2.00 | $4.00 | | |---------------------------------------------------------------------------------| | An Hour with Harlan Ellison| | | | | | | | Cassette | | $6.00 | $1.00 | $1.00 | $3.00 | | |---------------------------------------------------------------------------------| | I'm Looking for Kadak | | | | | | | | Cassette | | $6.00 | $1.00 | $1.00 | $3.00 | | |---------------------------------------------------------------------------------| | The Prowler in the City... | | | | | | | | Cassette | | $6.00 | $1.00 | $1.00 | $3.00 | | |---------------------------------------------------------------------------------| | | | | California Residents please add 8.25% sales tax | | |---------------------------------------------------------------------------------| | | | |GRAND TOTAL | | |---------------------------------------------------------------------------------|
Note: When ordering three or more items, only pay postage on the two most expensive items. We will cover the rest.
Name : ______________________________________________
Date : ______________ Membership No.: ______________
Address: ______________________________________________
______________________________________________
______________________________________________
Please make checks/money order (US FUNDS ONLY) payable to:
The Harlan Ellison Recording Collection
Send to: The Harlan Ellison Recording Collection
P.O. Box 55548
Sherman Oaks, CA 91413-0548