Order Form

To order, PRINT THIS BLANK FORM on your printer. Fill it out completely and send it to our mailing address with payment in full. Visa and Mastercard payments are welcome. All credit card orders must be accompanied by a signed order form. You may fax your credit card orders to us at (916) 773-4727. E-mail or telephone credit card orders are accepted only from known customers. OVERSEAS CUSTOMERS: Please contact us for shipping charges.

PHONOGRAPH AND RECORD SUPPLIES
Item Description
Price
How Many
Total
Shipping
Loud Tone Phonograph Needles - Pack of 50 $3.00     Free
Soft Tone Phonograph Needles - Pack of 50 $3.00     Free
Strobe Disc - 78 and 80 RPM $4.00     Free
78 RPM 10" Sleeves - Pack of 25 $10.00     $4.00
78 RPM 12" Sleeves - Pack of 25 $11.50     $5.00
78 RPM 10" Sleeves - Pack of 100 $35.00     $8.00
78 RPM 12" Sleeves - Pack of 100 $40.00     $10.00
78 RPM used Storage Album - 10" $5.00     $3.00
78 RPM used Storage Album - 12" $5.00     $4.00
Clear Plastic 10" Album Covers - Pack of 25 $6.00     $3.00
Clear Plastic 12" Album Covers - Pack of 25 $7.00     $4.00
Clear Plastic Small Sheet Music Covers - Pack of 25 $6.50     $3.00
Clear Plastic Large Sheet Music Covers - Pack of 25 $7.50     $4.00
Special Item: $     $
  Sub Totals    


Merchandise Total from above  
California Residents add 7.25% Sales Tax on Merchandise Total  
Shipping Total from above - USA ADDRESSES ONLY - contact us first for overseas shipments  
Total Enclosed  

Make checks payable to Hawthorn's Antique Audio and send payment along with this form to 77 Columbia Avenue, Roseville CA 95678.
All shipments will be sent via U.S. Mail. Please allow 2 to 3 weeks for delivery. For credit card orders, please fill out the section below.

Name:   Visa or Mastercard:  
Address:   Credit Card #:  
City, State:   Expiration Date:  
ZIP:   Signature:  
Phone/Fax:   Email: