Please fill in or check all areas which are appropriate for your order:

Bill to Name:

Bill to Address:

Bill to City:

Bill to State:

Bill to Zip Code:

Ship to Name:

Ship to Address:

Ship to City:

Ship to State:

Ship to Zip Code:

Phone Number:

Alternate/Fax:

E-Mail Address:

Option For:

 7"     10"     12"     45RPM     33RPM

Matrix Number:

Deposit Amount:

(50% required upon order placement; balance due prior to delivery/shipment)

Mastering:

 Yes    No   

2 Step Processing:

 Yes    No   

Test Pressing :

 Yes    No   

Labels :

 Yes    No    Blank
(If yes, submit camera ready artwork to orders@billsmithcustomrecords.com)

Indicate Color Choice:

12” Jackets: options:

 White w/ Hole   
 Black w/ Hole   
 Customer Supplied   

Do you want Shrink Wrap?

 Yes    No   

Quantity:

Vinyl:

 Black Vinyl    Color Vinyl    Color Choice

Indicate Vinyl Color Choice:

Other Services:
(Stickers, Inserts, Plastic Sleeves, etc.)

Enter Verification Code :