Total Control Order Form
FREE POSTER WITH EVERY ORDER!

$25.00 Minimum Order

Please indicate 1st and 2nd choices.

THANK YOU! Please print out this form, fill it out and fax it to Total Control Records at (301) 839-9020

If you are paying by check, fill out only the checking accout information. This should include ALL digits at the bottom of your check. We offer the convenience of accepting your check electronically!

If you are paying by credit card, fill out only the credit card information

[IMPORTANT DO NOT KEYBOARD INFORMATION THEN PRINT OUT FORM - ALL INFORMATION WILL BE LOST. SIMPLY PRINT OUT THIS PAGE AND USING A PEN COMPLETE THE FORM TO FAX.]

NAME
STREET ADDRESS
CITY
STATE
ZIP CODE

TO PAY BUY CERTIFIED CHECK:
BANK NAME
CHECK AMOUNT
ALL NUMBERS SHOWN
AT BOTTOM OF CHECK

TO PAY BY VISA OR MC is
UNDER CONSTRUCTION AT THIS TIME
PLEASE PAY BY CERTIFIED CHECK OR MONEY ORDER
THANK YOU:
VISA OR MC
CARD NUMBER
EXPIRATION DATE

MAKE YOUR SELECTIONS HERE:
REMEMBER TO INDICATE 1st AND 2nd CHOICES

TOTAL CONTROL RECORDS ©
a Division of PRD Enterprises