Gila Mountain DulcimersPrintable Order Form |
|
Name: |
________________________________________________________ |
Street: |
________________________________________________________ |
City, State, Zip |
________________________________________________________ |
Phone: |
________________________________________________________ |
|
Payment Type: Check Credit card |
Amount enclosed: | Please allow 2 to 4 weeks for delivery. You may return any item within 30 days for a full refund of the price of the item (shipping not refundable) if we receive the item back in salable as new condition. |
| Card type: Visa MC AmerEx | ||
| Expiration Date: | ||
| Acct #: | ||
| Name on Card: (please print) | ||
| Signature: | ||
| ITEM # | DESCRIPTION | COLOR | QTY. | PRICE PER ITEM | TOTAL AMOUNT |
|---|---|---|---|---|---|
| Make check payable to and mail to: The Dulcimer Shop P. O. Box 1005 Capitan, New Mexico 88316 Phone: 505.354.2086 E-Mail: kerry@GilaMountainDulcimers.com Website: http://www.GilaMountainDulcimers.com |
Product Total (A) | ||||
| Shipping - see chart below (B) | |||||
| Cash Discount - 2% of A (C) (Discount applies only if paying by check) (No discount if minimum on shipping) |
|||||
| IL residents add 6.25% (D) | |||||
| TOTAL (A+B-C+D) | |||||
| Thank you for your order! | |||||
SHIPPING INSTRUCTIONS:
|
||||
| Please be assured your order will be fully coordinated. Thank you. | ||||