RKM Fax/Snail-Mail Form

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ROBERT KING MUSIC SALES
140 Main Street
North Easton, MA 02356-1499 USA
FAX: (508) 238-2571

PLEASE NOTE: To help reduce overhead on our end, ALL SALES MUST BE FINAL. Music is shipped as ordered and can only be returned if defective. Please be absolutely sure that your order is correct before sending this order form.

Name _______________________________________________________  Date ______________________

Street __________________________________________________________________________________

Town/City ___________________________________________________ State _____________________

Postal Code(s) ______________________________________ Country ___________________________

E-mail Address _______________________________  FAX Number ______________________________
        
         --- SELECTIONS TO PURCHASE - FROM THE BRASS PLAYERS GUIDE ---

QTY COMPOSER                  PUBLISHER  TITLE                    INSTRUMENTS        COST


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SUBTOTAL:______

MC/VISA/AMEX

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Credit Card Number

EXPIRATION DATE __ __ / __ __

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AUTHORIZED SIGNATURE

See the Universal Currency Converter if needed.

USPS Priority add $7.00 _______

UPS Ground add $8.00 _______

UPS Overnight (price per weight) _______

UPS 2nd day (price per weight) _______

International Air Mail (price per weight) _______

Canada Air Mail (price per weight) _______

If delivered in Massachusetts add 5% tax _______

FINAL TOTAL ENCLOSED - IN U.S. FUNDS _________