Order Form

Yes, I'd like to register with Nerus Records. I have read the Registration Agreement, and consent to the terms therein..

PLEASE NOTE:
We can only accept credit cards online, through Paypal.
For online credit card orders, please click here

Your Name:  
Band Name  
Address:  
City:  
State:           Zip Code: 
Country:  
Phone (optional):
E-Mail (optional):  

 

***ORDER ITEMS***
One release, one format $25
Two releases, one format $45
Three releases, one format $55
Ten releases, one format $100
Additional formats $5 for each additional format
Shipping (inc. CD) $5 for Priority Mail
E-mail delivery No Charge

 

If you're ordering multiple releases, and some have a different main format (ie. one is on CD
and digital, and one is only on vinyl) please specify. Remember, you get one format included.
So, let's say you're getting two releases. That's $45. One will be on CD and digital, so you pay
an extra $5. The other will only be on vinyl, so you don't have to pay another $5 for that. Just make
sure you let us know in the "additional information" box below.

 

 Quantity Price

Number of releases:
 
$  
Main Format (CD, Digital, Vinyl, Video, or 7 inch):
N/A
N/A
Additional Format 1
 
$  
Additional Format 2
 
$  
Additional Format 3
 
$  

ADDITIONAL INFORMATION

If you're ordering more than one release, and you only want additional mediums on some of the numbers, specify which ones (ex. 1st & 3rd). Please write the names of each release!









  
Total:
$  
If ordering through the mail, please add shipping and handling charge
Total including S&H:
$  

 

Check or Money Orders

Please send this form, along with a check (in U.S. currency) made out to Russell Alexander. Money orders
or bank checks will take 3 business days to clear. Personal checks may take up to 10 business days.
Please include the shipping charges listed above, and mail to:

Nerus Records
69 Washington Avenue
Brentwood, NY 11717

Phone: 1-631-827-5257

 

 

 

 

 

Name ___________________________________________________
Address _________________________________________________
City ____________________ State _________  Zip ______________

E-mail (optional)__________________________________________

Outside of the U.S.A., please note:

Only money orders drawn on US banks can be accepted (sorry!). This should not present a problem, but if you have difficulty please contact us.

 

©2018 Nerus Records