PROMOTIONAL MATERIALS REQUEST

Posters & Promo CDs (Retailers Only)

Please enter the following information. Please note that all fields are mandatory. All information is for Radiant Records' purposes only.

Name:
Business:
Address:	(This should be your business address.)
City:		State:
Country:		Zip/Country Code:
E-mail:		Phone:
How Do You Purchase Radiant Records/Metal Blade Product? Please Be Specific.

Item Selection
Spock's Beard Poster, Style A Quantity:	Spock's Beard Poster, Style B Quantity:
Spock's Beard, Day for Night CD, In-store play copy

Please include any comments or suggestions you may have for Radiant Records. Also, please tell us a bit about your business.