U.S. / BY CHECK (U.S. Funds) • SMASH YOUR HEAD ON THE PUNK ROCK - Matt Bissonnette

Simply fill in the following Form Page, print it, and then mail it along with payment by check, to:

Exile Editions/Order Dept., 134 Eastbourne Ave, Toronto ON, M5P 2G6, Canada
(Delivery time, upon receiving your request, is approximately 7 days. You will receive an e-mail notification when your order is processed.)


First Name:

Last Name:

Institution Name:

Library Name:


Add. line 2:



Post/Zip Code:


E-mail Address:


PRICES: Select from the pull down menu below the Quantity you would like to order: listed beside the Quantity is the Price for the book/s (First Class SURFACE MAIL Postage, plus handling included), and a final Total Due.
• for orders of 5 copies or more, we discount the price per book by 5%; for 10 books, 10% off each book - these discounts factored into the pull down menu prices listed.

TOTAL DUE, IN U.S. FUNDS, BY CHECK OR MONEY ORDER $: (please enter amount; make cheque payable to EXILE EDITIONS)


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