|
ORDER FORM -
CANADA
Papa Panov
- A Christmas Musical |
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|
Name
of Purchasing
Individual/Group/Institution | ....................................................................... |
| Contact
Name | ....................................................................... |
| Mailing
Address (for delivery) | .......................................................................
.......................................................................
.......................................................................
....................................................................... |
| Telephone
Number | ....................................................................... |
| Email
address | ....................................................................... |
| |
Number
of copies of
Performance Package required: | [ ]
at $120.00 + $10.00 (s+h) each
(CAD) |
| Payment
type: |
[
] | Cheque |
[
] | Money Order |
| Cheque/Money
Order
amount: | $.................................................................... |
| |
| Special
Requests/Comments? | ....................................................................... |
Please
tell us how you heard about
"Papa Panov - A Christmas Musical" | .......................................................................
.......................................................................
.......................................................................
....................................................................... |
| | |
|
Please
make cheques or money orders payable to
"Alex Robinson - 4Music"
Send this form and payment to
ALEX ROBINSON - 4MUSIC
1088 SECORD AVENUE,
OTTAWA, ON, K1H 8C 8
Please allow 14 days for delivery. |