To pay by cashier's check or money order (made payable to Audio Grafics), please print this page, fill it out and mail it with your check or money order to:   
Audio Grafics
P.O. Box 1611
Metairie, LA  70004

PLEASE NOTE:   ALL information on this page must be filled-out COMPLETELY and ACCURATELY for your order to be processed without delay.  A $25.00 return fee will apply to all NSF checks.

I wish to order the following:

[ ] Customized Jock Drops ($93.50 = 89.95 + 3.55 S&H)

[ ] Spice Drops 1 (Generic Drops CD) ($38.50 = 34.95 + 3.55 S&H)

Please note, both products ship for $3.55.  If ordering both products, please pay only $3.55 S&H TOTAL for s/h.

The DJ Name or DJ Company Name I wish to have used in my customized CD is:

____________________________________________
(Please neatly print the DJ Name or DJ Company Name to be used)

Ship to (please print neatly):

Name: _________________________________
Address: _______________________________
City:_______________________ State: ______
Zip Code: ___________________

Day Time Phone Number: (         ) ______-___________
Evening Phone Number:    (        ) ______-___________

E-Mail Address: ______________________________