Adrenalin Metal Union

Merchandise Order Form

Item:	Quanity:	Price	Total For Item:
Adrenalin Rush: Volume 2 - in the US		$5.00
Adrenalin Rush: Volume 2 - outside the US		$7.00
Adrenalin Rush: Volume 1 - in the US		$3.00
Adrenalin Rush: Volume 1 - outside the US		$5.00
Adrenalin Issue # 12 - in the US		$3.00
Adrenalin Issue # 12 - outside the US		$6.00
Adrenalin Issue # 11 - in the US		$3.00
Adrenalin Issue # 11 - outside the US		$6.00
Adrenalin Issue # 10 - in the US		$3.00
Adrenalin Issue # 10 - outside the US		$6.00
Adrenalin Issue # 9 - in the US		$3.00
Adrenalin Issue # 9 - outside the US		$6.00
Adrenalin Issue # 8 - in the US		$2.00
Adrenalin Issue # 8 - outside the US		$5.00
Adrenalin Issue # 7 - in the US		$2.00
Adrenalin Issue # 7 - outside the US		$5.00
Adrenalin Issue # 6 - in the US		$2.00
Adrenalin Issue # 6 - outside the US		$5.00
Total Cost For Order =

Payment Instructions:

1. Print out and complete this Form

2. Enclose Check or Money Order payable to Mike Burmeister

3. Send Form and Payment to:

      Adrenalin Metal Union
      PO Box 296
      Waunakee, WI 53597 USA

COMPLETE MAILING ADDRESS (please print clearly):

EMAIL ADDRESS or PHONE NUMBER (in case of questions):