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ORDER FORM

To order records from us, just fill in the form below. Please write down all the necessary information in the brackets marked with *. This is to make sure we can properly manage your order. (You don't have to fill in information regarding record label/catalogue number, but it can be helpful to us if it's a rare title you're looking for).

RECORD INFORMATION

Artist*

Record title*

Record label /Catalogue number

PERSONAL INFORMATION

Name*

Street address*

Postal code | City*

Card number | Expiry Date
MM/YY

E-mail address*

Phone number

Message

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KONTAKT
Burmans Musik | Box 348 | 90107 Umeå
info@burmans.com | 090-120242
WEBBDESIGN
Henrik Andersson