Please print out, fill in and mail.
Send check or money order to:

LEVIATHAN RECORDS
P.O. BOX 745
TYRONE, GA 30290
Questions regarding your order: 770-257-8697

All Cds are $9.99 each unless otherwise noted.
Shipping Rates:
1 Cd $3.50
2 Cds $4.00
3 Cds $4.50
4 Cds $5.00
5 Cds and up No Charge!

No mail orders outside of the United States at this time.

NAME_______________________________________________

ADDRESS___________________________________________

CITY_________________________ STATE_____

ZIP CODE_________________ COUNTRY___________

E-MAIL (optional)__________________________

ITEMS:_________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________


TOTAL ENCLOSED:_________ (Georgia residents add 7% sales tax)