Sucking Chest Wound P.O. Box 242 Station B Toronto, Ontario CANADA M5T 2W1 (416) 539-0250 Email: scw@scw.gts.org WWW: http://www.scw.gts.org/

SCW Order Form

Name: __________________________________________________________

Mailing Address: _______________________________________________

Town/City: _____________________ Prov/State: ___________________

Postal/ZIP Code: _______________ Country: ______________________

Email Address (optional): ______________________________________




( ) War on Drugs                  _______ X $15.00 = ___________

( ) God Family Country

      3-Cassette Special Package  _______ X $18.00 = ___________

(Sorry, no more God Family Country CDs available)                                                                                      

                                  Subtotal _____________________

  Add $2.00 shipping and handling per item

                         _______ X $2.00 = _____________________

          Total with shipping and handling _____________________

    
                               Grand Total _____________________

________________________________________________________________

Make your cheque or money order payable to Jeff Ibsen or Wayne
Morris (Non-Canadian residents in US funds). Enclose it with
this form and mail to:

SCW International
P.O. Box 242, Station B
Toronto, Ontario
Canada M5T 2W1