Reynolds Brothers
Rhythm Rascals
CD Order Form

Ralf Reynolds
719 Kilson Dr.
Santa Ana, CA
92701

Enclosed is a check or money order made payable to Ralf Reynolds
in payment for the following CDs:

ZaSu Records No. 6 _____@ $18 ea. Total $____________
ZaSu Records No. 5 _____@ $18 ea. Total $____________
Blue Drag _____@ $18 ea. Total $____________
ZaSu Records No. 3 _____@ $18 ea. Total $____________
Futuristic Jungleism _____@ $18 ea. Total $____________
Amount Of Check Or Money Order: TOTAL $____________

Name:_________________________________________ Date:__________
Address:_________________________________________________________
City:____________________________ State:_______ Zip:____________