ORDER FORM

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How to order 

Order Form 

Fax Order Form 

Manuscripts 

CD 

  Fill out the order form :

  To order, fill out carefully the order form below. Don't forget to mention :
• Your name and address (the fields followed by * are required).
• Your order : precise clearly the title, the instrument, the composer, the quantity and the total price
• The shipping and handling fees, depending on the country from which you order
• The method of payment : one of the four methods below and no credit card.

  

 

 Name and Address

Title  

Mr     Mrs    Miss 

 NAME *  

First Name * 

Society or activity  

VAT (if any)  

Phone  

Fax  

 E-Mail *  

 Address *  

Post code *  

       City *  

Country *   

 

 Order

Work # 1 

 Title * 

Instrument * 

Composer *  

Reference *  

BN 

Quantity *  

Total price 1 * 

 EUR

Work # 2

Title 

Instrument

Composer

Reference  

BN 

Quantity

Total price 2  

 EUR

Work # 3

Title 

Instrument 

Composer

Reference

BN 

Quantity

Total price 3

 EUR

Work # 4

Title 

Instrument 

Composer

Reference  

BN 

Quantity

Total price 4  

 EUR

 Grand Total

Total scores *

 EUR (price 1 + price 2 + price 3 + price 4)  

Shipping and handling *  

Grand total *  

 EUR (including shipping and handling)

 Method of payment

Bank money transfer (our account number will be sent by mail) 

Postal money order

Paypal (you'll receive an email contening a Paypal link)

Cheque (Belgium only)

GENTLE SOURCE
BAYARD-NIZET Music Publishing
Rue des Ecoles, 6
4970 - STAVELOT (Belgium)
Tel & Fax ++32 (0) 86 24 37

  


 

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