RMT Fax and Mail Order Form

Fax & Mail Order Form For RMT Stuff Please complete all fields below, then click on "print this form" button Fax your order to: 281-893-8475 or Mail your order to: Radio Music theatre, 2623 Colquitt, Houston Tx 77098 You may also order by phone at 713-522-7722 or Make your purchase at RMT (2623 Colquitt, 11am-7pm Tuesday thru Saturday)

	First Name Last Name Address City State Zip Phone		Credit Card Type Card Number Month Year



DVD's ($20 ea+Shipping)		CD's ($12 ea+shipping)
The Last Night at Orabella's	Quantity	Funny Music	Quantity
Wiener Day at the Rollercade		Whatshisname?
Just Shut Up and Drive		Fat, Tall and Strong
A Fertle Holiday
		Caps and Short Sleeve T-Shirts $12 ea+shipping Baseball Sleeve T-Shirts $20 ea+shipping.
		Call 713-522-7722 for color choices.
		RMT T-Shirt (Short Sleeve) Size
		RMT T-Shirt (Baseball Sleeve) Size
		RMT Cap
		RMT Gift Certificate $22 (Ticket good for any performance; reservation required)
Terms and Conditions \| Shipping Charges