JOHN GROVES MUSIC PRODUCTIONS : DIDGERIDOO GALLERY
Mail In Order Form
Just print this screen, write in what you want and mail it with your payment.
Please Print Clearly

NAME:___________________________________________________________

SHIPPING ADDRESS:________________________________________________

___________________________________________________________________

EMAIL:_____________________________________________
Please make sure to provide your email so John can contact you if he has a question about the your order and to alert you
when your order is shipped.

ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________
ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________
ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________
ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________
ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________
ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________
ORDER NUMBER:____________ QTY:__________ X   PRICE each:$______ TOTAL:_$___________

SUB-TOTAL for Order:-----------------------------------------------------------------------------------:_$___________

SALES TAX 8.5%:-----------------------------------------------------------------------------------------:_$___________
Applies to Washington state residents only.

TOTAL SHIPPING:-----------------------------------------------------------------------------------------:_$___________

TOTAL BALANCE DUE:-----------------------------------------------------------------------------------:_$___________

Credit Card payments please circle Mastercard or VISA

Card Number:__________________________________________ Exp. Date:___________

Authorized Signature:_________________________________________________________

How to Mail In Order

1> PRINT THIS PAGE and MAIL WITH YOUR PAYMENT

2> CLEARLY PRINT YOUR ORDER DETAILS

3> IF PAYING BY MASTERCARD OR VISA FILL IN DETAILS ABOVE

4> IF MAKING PAYMENT BY CHECK OR MONEY ORDER. PLEASE MAKE PAYABLE IN US FUNDS TO:

SEND YOUR ORDER FORM AND PAYMENTS TO:
John Groves Music Productions
21418 SE 292nd Place
Kent, WA  98042
USA

Questions? Email John at
JG@JGMP.com

Thanks for your Order!
I Look Forward to serving you again.

- John Groves
Didgeridoo Gallery, owner / performer / educator

Confirmation of your Payment Received and Date Shipped will be sent via-Email if email is provided.
Questions?
Email John Groves
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