Goldband Records - Order Form


Goldband Records
P. O. BOX 1485
Lake Charles, LA 70601

Phone: 1 (800)376-1039
Monday to Friday- 9:30AM to 5:15PM - Central Time
Fax: 1(318)491-0994

We accept VISA and Master Card

Your E-mail Address
(E-mail address MUST be put in. Information won't be transmitted without it.)

Your Name:

Street Address:

City: State/Province:

Zip/Postal Code: Country:

Telephone:

Fax:

Ship to (If different than above) or any comments you may have.

NOTE: You may print out this form, fill it out, then mail it in with your check, or, fax it in with your credit card number.

We accept VISA and Master Card

Payment Method: Check One
Send this form electronically - Fill out this form then click "PRESS TO SEND" button below.**CREDIT CARD ONLY**
Check - Print out this form, fill it in, then mail to Goldband Records along with your check.
Fax Order - Print out this form, fill it out, then fax to Goldband Records **CREDIT CARD ONLY**

Your Credit Card Information:

Visa MasterCard

Credit Card Account Number:

Expiration Date:

Quantity Record # Description (Include size if T-shirt) Price Amount
Subtotal
Louisiana Res. add 8-1/2% - Sale Tax
Shipping Fee (See table below)
Invoice Total

Type in your order then,
Or,


For overseas shipping, we will add actual (Air) shipping charges.
(We will contact you via e-mail of overseas freight charges if requested)

Surface freight (Ship) is not practical. It may take as long as two months and cannot be traced.

U.S.A. Shipping Charges: (UPS ground)
Up to $40.00 -- $5.95
$40.01 to $60.00 -- $6.95
$60.01 to $80.00 -- $7.95
$80.01 to $100.00 -- $9.95
Over $100.00 -- $11.95

If you prefer, you can call in your order toll free. Call: 1-800-376-1039
Monday to Friday - 9:15AM to 5:15PM Central Time


For inquiries about our products, we can be reached via e-mail at:
tek@usunwired.net.


This site designed by Bert Frilot E-mail Bert Frilot at: onecajun@iamerica.net

This page and all it's contents are Copyright © 1996 by Goldband Records, Lake Charles, Louisiana, U.S.A.
.