ORDER FORM
(Mail or Fax)

Print this Form: Fax 425-482-9614

Electric Head Records & TimeStyle Music Records

Electric Head records & TimeStyle Music Records Online Store -Websites: www.darinisaacs.com & www.electricheadrecords.com
8554 122nd Ave NE, PMB A-201 Kirkland, WA 98033 - Fax: 425-482-9614 - Phn: 425-785-7640

Name:___________________________________________Date:____________________
Street:___________________________________________________________________
City:_______________________Prov/State:__________Zip/PostalCode:_______________
DaytimePhone:_________________Fax:_________________Country:_________________
Email_______________________________Phone:________________________________

MC__ or Visa __ --------- ( please circle one ) ----------
(credit card charges will appear as: TimeStyle Music Records) NEW FOR 2008, A NEW VOCAL/PIANO CD BY DARIN ISAACS TITLED "HERE WITH ME NOW"!! SEND US A FRIEND REQUEST ON MYSPACE AT MYSPACE.COM/DARINISAACS FOR UPDATES OR CHECK OUT WWW.DARINISAACS.COM!

Name on Card:_____________________________________________________________

Card Number:______________________________________________________________

Expiration Date:___________________Signature:_________________________________

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Item/Title/Artist 

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Price

  HERE WITH ME NOW - CD   $9.99    
  RAIN - CD   $16.99    
  RAIN - CASS   $12.99    
  COLORS TO HEAR - CD   $16.99    
  COLORS TO HEAR - CASS   $12.99    
  SOFT STORIES - CD   $16.99    
  SOFT STORIES - CASS   $12.99    
   
Subtotal  
Sales tax (add 8.8% for Wash. State Residents)  
Shipping Costs (See Shipping Fees Chart)  
Total  
With regular mail, expect your order to take 2-4 weeks (However most orders go within a week). Remember, all of our orders are 100% guaranteed. If you are not satisfied with your goods, return them in the condition you received them and we will refund the full amount. Thanks for your interest..

Make checks and money orders payable to: Timestyle Music Records