Junk-Records Online CD Order Form

Fill In the information below to begin

 would like to purchase:   
      
                      How many:                                   Price Per CD:  
                                                                             
I would like to purchase:   
      
                      How many:                                   Price Per CD:  
                                                                             
Add the dollar amount of CD's here

Add $1.00 shipping and handling per CD here

Grand total amount sent  here

Please indicate Personal Check or Cashiers Check

Today's Order Date



Full Name:

Address:

City, State & Zip:

Email Address:

Home Phone:

Work Phone:

(click once to reserve your CD's)

Once payment is received, allow 7 -10 day's for shipping.

Danny Johnson

16536 Masline

Covina, Ca. 91722

"Thanks for your order and supporting on-line musicians"