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Fill
out the form below, print it out and fax it to (410)
668-4576.
We will submit your
credit card order through our standard credit card processing
with Bank of America.
If you prefer, you can go back to the ONLINE ORDERING
here.
Number of GPT 2005 CDs |
$15.00 US each CD $.75 tax in State of MD each CD $2.00 US shipping and handling USPS ground in Continental US each CD |
Number Of Sheet Music Copies of Robert Haskin's ONE arranged by Barry Dove |
$15.00 US each $.75 tax in State of MD each CD free US shipping and handling in Continental US each |
Number Of Sheet Music Copies of Dmtri Shoshtakivich Polka, from "The Golden Age" arranged for Marimba by Barry Dove |
$15.00 US each $.75 tax in State of MD each CD free US shipping and handling in Continental US each |
Contact Info: | Choose at least one of the following |
Contact via Email | |
Contact via Phone | |
Contact via Fax | |
Shipping Address | |
Name | |
Street | |
Street 2 | |
City | |
State | |
Country | |
Zip Code | |
Payment Method | |
Payment Type: we support ONLY these Methods. No Personal Checks. | if credit card, fill out card info and card holder billing name/address below. |
Credit Card # | |
Credit Card Verification # |
(this is the last 3 digits of the # on back of card by signature stripe.) |
Expiration | |
Credit Card Billing Info | Check here if the SAME as shipping info. |
Name | |
Street | |
Street 2 | |
City | |
State | |
Country | |
Zip Code |
Check the form for errors
...
Print
the form and fax it to (410)
668-4576.
We will submit your credit card order through our standard credit card processing
with Bank of America.
If you prefer, you can go back to the ONLINE ORDERING
here.
Home | Players | CD | Orders | News | Contacts