|
ORDER FORM -
REST OF THE WORLD
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 $105.00 each
(US dollars)
plus shipping and handling of
$................ (US dollars)
(as agreed by emailed quote) |
| Payment
type: |
[
] | Cheque |
[
] | Money Order |
| ChequeMoney
Order amount: | $.................................................................... |
| Special
Requests? | ....................................................................... |
Please
tell us how you heard about
"Papa Panov - A Christmas Musical" | .......................................................................
.......................................................................
.......................................................................
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Please
make cheque 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
CANADA |
Please allow at least 14 days for delivery, after our receipt of your
payment. |