National Socialist Movement Downloadable Order Form - For Mail-in Orders

Your Name: _________________________________________________________________

Your Address: ________________________________________________________________

Your Email: _________________________________________________________________

Phone Number _______________________________________________________________

Your email address or phone number will enable us to contact you quickly if we have any

queries about your order

Item #  Item Name Price Quantity Item Subtotal

 _______        _____________________       $__________     x     _______    =    $_________

_______        _____________________       $__________     x     _______    =    $_________

_______        _____________________       $__________     x     _______    =    $_________

We suggest that when you fill out your order form you also list an alternative item in case

something is out of stock. That way we can still rush your order to you.If my first choice is

not available, please substitute from the items below:

_______        _____________________       $__________     x     _______    =    $_________

_______        _____________________       $__________     x     _______    =    $_________

Subtotal     =   $__________

Shipping - Free in US and Canada. Outside US and Canada:  $6.00 for one or two items,
$9.00 for three items, $12.00 for 4 or more items.  (So, minimum shipping outside US and
Canada is $6.00 and maximum shipping is $12.00.)

Plus Shipping (free in US & Canada)   =   $___________

Total   =   $___________

Send Cash, Check, Money-Order; make payable to:

National Socialist Movement,

P.O. Box 13768

Detroit, MI. 48213

(We would really appreciate it if you could add a small donation to futher the work of the Movement)