Guitar Nucleus LLC ,
3217 35th St - Suite 104,
Metairie, La 70001

Qty	Part #	Description	$ Each	$ Total

			Shipping	$  7.95
			Total

Customer Info / Shipping Address:

First Name:  _________________________   Last Name: _________________________________

Street Address: ___________________________________________________________________

City: __________________________________________ State: __________ Zip: ______________

Email: ______________________________________________ Phone: ______________________

* Please make all checks, money order or cashiers checks payable to Guitar Nucleus LLC
** Heavy items like transformers or speakers may incur higher shipping fees.
Please email for shipping fee info on these items.