Solarium Records Merchandise Order Form

To buy merchandise from Solarium Records, just print out the form below, fill it out, and send it to us with a check, money order or well-concealed cash. Please make checks/money orders out to Eyes to Space. Allow 3-4 weeks for delivery (if you need it sooner, let us know in the special instructions box below). Sorry, we can’t accept credit cards. Prices below INCLUDE TAX AND SHIPPING! J Thanks!

Mail form and payment to:

Solarium Records – Dylan Thurston

502 West Poplar Ave., Unit F1

Carrboro, NC 27510

Name:

Address:

Address Line 2:

City:

State:

Zip:

Country:

Telephone:

E-mail:

Special Instructions:

Quantity	Product	Size (circle one)	Color (circle  one)	Price	Total
	From the Bureau of Robotic Affairs LP			$12	$
	New Frontiers Compilation CD			$7	$
	“Eyeball Creature” T-shirt	S M L XL	Light Blue Blue Red Black Ash	$10	$
	“Eyeball Creature” Baby Onesie	6 months 18 months	Gray White Pink	$7	$
	“Glasses Man” T-shirt	S M L XL	Light Blue Blue Red Black Ash	$10	$
	“ One Eye Creature” Work Shirt	EMAIL FOR AVAILABLE SIZES solariumsales@gmail.com Then enter size here___________	EMAIL FOR AVAILABLE COLORS Then enter color here______	$12	$
	Opera glasses			$2	$
				TOTAL:	$