THE PROJEKT's Request for Information and Order Form

For more info call THE PROJEKT HOTLINE: (631) 470-1698


 

(Please provide us with the following contact information):


Name
Address
City
State
Zip
Phone
Email

Would you like to order
The Projekt Retro / Remake CD Volume 1?
($10.00/ea. USD Money Order)

YES NO

Select the number of CDs you would like to order:


Would you like to order "The Projekt" T-Shirt?
($12.00/ea. USD Money Order)

YES NO

Select the T-Shirt Style and Size:


Select the number of T-Shirts you would like to order:


Select the type of party or affair:


Enter the date of your affair:

(Format: mm/dd/yy)

Enter the time of your affair:

(Format: 7:30 PM)

Would you like to be placed on our mailing list?

YES NO

Additional Comments or Requests:


Note: The information submitted by this form will only be used by "THE PROJEKT" to provide you with our fees, products and services; and to help you to plan for your next party or social event.
We respect your privacy and will not use this information for any other purpose.
Thank you for your interest in "THE PROJEKT"!

For more info call THE PROJEKT HOTLINE: (631) 470-1698


 

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© 2002 THE PROJEKT
Website Designed and Maintained by: Digital Jazz Productions
Webmaster: Mark Prigoff
THE PROJEKT Public Relations: Mark Danti