Genki Records Mail Order Form 
Please print this form, fill it out and include it with your order. If you are unable to print this form, please handwrite all the necessary info and print clearly.
www.genkirecords.com

Name:____________________________________________________________________

Address:__________________________________________________________________

City:_________________________________________________ State:_______________

Zip Code:_____________________________ Country:_____________________________

Email Address:_____________________________________________________________ (optional)

1) genki girl black T- shirt........................$15.00 Each.... QTY: ____(S); ____(M); ____(L); = $___________
2) genki girl white T-shirt.........................$15.00 Each.... QTY: ____(S); ____(M); ____(L); = $___________
3) genki girl black spagetti strap ...............$15.00 Each.... QTY: ____(S); ____(M); ____(L); = $___________
4) got balls? spagetti strap.......................$15.00 Each.... QTY: ____(S); ____(M); ____(L); = $___________
5) frankie cheez sticker............................$1.00 Each..... QTY: ____                                = $___________
6) got balls? black T- shirt........................$15.00 Each... QTY: ____(S); ____(M); ____(L); ____(XL); ____(XXL); = $___________
7) frankie cheez white T-shirt...................$15.00 Each... QTY: ____(S); ____(M); ____(L); ____(XL); ____(XXL); = $___________
8) frankie cheez black T-shirt...................$15.00 Each... QTY: ____(S); ____(M); ____(L); ____(XL); ____(XXL); = $___________

9) frankie cheez Pieces of Cheez CD ...................$15.00 Each... QTY: ____ = $___________

SHIPPING AND HANDLING:
USA: (1-2 items) $3.00, (If ordering more than 2 items, include $1.00 for each additional item ordered)
Canada: (1-2 items) $5.00, (If ordering more than 2 items, include $1.50 for each additional item ordered)
Central and South America: (1-2 items) $8.00, (If ordering more than 2 items, include $1.00 for each additional item ordered)
European Countries: (1-2 items) $11.00, (over 2 items, include $1.00 for ea. additional item)
Australia, New Zealand & Japan: (1-2 items) $13.00, (If ordering more than 2 items, include $2.00 for each additional item)
If you have any further questions about shipping please email us at frankie@genkirecords.com

Total # Of Items_________________ Total Shipping =$_________________________________

Grand Total Enclosed =$__________________________________________________________

All orders must be in the form of International or US Money Orders, US Cash or Cashiers Checks.
Send money order payable to US DOLLARS made out to CASH!
All checks NOT made out to "Cash" will be sent back!
No COD'S, No foreign checks and No personal checks will be accepted.
Allow 3-6 weeks for delivery
Payment in full must accompany order.

Mail To: genki records P.O box 344 Dumont, NJ, 07628, USA