Order Form for "Ordinary Hero" CDs Your First Name______________________ Your Last Name________________________ Street Address Line 1________________________________________________________ Street Address Line 2________________________________________________________ City___________________________________ State____ Zip Code_________________ Your email address___________________________________________________________ (Unless there's a problem with your order - or you ask to be on my mailing list - I'll never send you email.) Check here ONLY if you want to be on my mailing list for tour announcements, new releases and so on. (I will NEVER sell your contact information.) YES!( ) Number of CDs you're ordering_______ That number times $12.50_______________ If you're a Nevada resident, please add 97 cents sales tax per CD________ Shipping & handling ($3.00 for one CD + $1.00 for each additional CD)________ TOTAL of all three lines above $_______________ Do you want your CD autographed (autographing breaks shrinkwrap)?( )yes ( )no How do you want that to read?________________________________________________ If you do NOT want a CDExtra! format disc, please check here. No CDExtra! ( ) (Note that some computer CD drives cannot play the audio session of CDExtra! discs. The audio session on your CDExtra disc will play just fine in any home or car CD player.) For orders from outside the USA, please contact me to determine the cost of shipping BEFORE you order. Although I will make every effort to get your CD to you quickly, please allow up to 6 weeks for delivery. Please send your check or money order in U.S. dollars ONLY (if you send cash, you risk it being stolen along the way) and this completed form to: Thom Stark 200 S. 16th St. Las Vegas, NV 89101 Thank you for your support!