* Required Fields

* NAME: ____________________________________________

* ADDRESS _________________________________________

* CITY: ____________________________ *STATE: __________

* ZIP: _________ *COUNTRY (If not USA): _________________

PHONE: _____________________________________________

E-MAIL: _____________________________________________

* WHICH SUGAR JONES CD(s) WOULD YOU LIKE TO ORDER (Specify which CD(s) you want and how many copies you want of each):

____ "Bring Your Own Insanity" (2001) HOW MANY COPIES? _____
____ "The Push" (1994) HOW MANY COPIES? _____

Please mail this completed form with a check or money order for the total number of CDs ordered multiplied by $10 (shipping and handling are free) to the address above.

Thank you for supporting indie music. If for any reason you are unhappy with your CDs, send them back to us undamaged within 30 days and we will refund your money. Thanks!