ORDER FORM

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Order Form 

Fax Order Form 

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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

 Title  
Instrument
Composer
Reference
Quantity
Total price
# 1
 EUR
# 2
 EUR
# 3
 EUR
# 4
 EUR
# 5
 EUR
# 6
 EUR
# 7
 EUR
# 8
 EUR
# 9
 EUR

 Grand Total

Total scores *

 EUR

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 from Paypal)

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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