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The Membrane Domain

ORDER FORM FOR GLISTENING TRAIL RECORDS

MUSIC OF

THE PHILADELPHIA SPIRIT EXPERIMENT

Before placing your order, you may wish to visit our Please enter the following information:

your first..............................and last names

e-mail address

street ( or shipping ) address

city,......................................state,...................................and zip code

Please indicated one or more of the following albums (base price is $7.00 for cassette tapes, or $14.99 for Mini-Discs, including shipping, handling, and PA sales tax if shipped within PA ... but, you can save a lot of money using the options section below):