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MAIL
ORDER FORM
Print this page, fill in the information and mail to:
JRB Records
Box 117
Cold Spring Harbor, NY 11724
Name: _____________________________________________________________
Address: ___________________________________________________________
City: __________________________
State: ____ Zip: ______ Country: __________
Phone: Required
(____)____ - _________ Email Address: ______________________
Payment
(circle one): Money Order | Visa | Mastercard
| American Express | Discover
Name on Card
___________________________ Expiration Date ___/___ (month/year)
Card Number ___________________________________
CVC# __ __ __ (see below)
Signature __________________________________________________________
Credit card purchases only
|
Quantity |
Title |
Price |
SbTotal |
| _______ |
CD-2001
A Composer's Christmas |
$
9.99 |
_______ |
| _______ |
CD-2002
Rachmaninoff Premieres |
$
9.99 |
_______ |
| _______ |
CD-2003
Ilan Guetta Plays Bach Electric |
$
9.99 |
_______ |
| |
CD-2030
One Hour To Madness & Joy |
$
9.99 |
|
| _______ |
CD-3001
Christmas Straight Up |
$
9.99 |
_______ |
| _______ |
CD-3002
I Got The Blues For Christmas |
$
9.99 |
_______ |
| |
CD-3003
Scott Joplin Greatest Hits |
$
9.99 |
|
| |
CD-3005
Stars & Stripes Forever |
$
9.99 |
|
| _______ |
CD-3007
Dick Hyman At The Cookery (1973) |
$
9.99 |
_______ |
| |
CD-3008
Dick Hyman:Piano Pro Book |
$
19.99 |
|
| |
CD-7001
Beyond The Manger |
$
9.99 |
|
| |
CD-7002
Storytime Favorites (3 cds - 4 hours) |
$
19.99 |
|
| _______ |
CD-9001
The Fantastic World Of Christmas |
$
9.99 |
_______ |
| _______ |
CD-9002
The Fantastic World Of Liszt |
$
9.99 |
_______ |
| _______ |
CD-9003
The Fantastic World Of Gershwin |
$
9.99 |
_______ |
| _______ |
CD-9004
Fantastic Favorites |
$
9.99 |
_______ |
| |
CD-10001
Grand Russian Fantasy |
$
9.99 |
|
| |
CD-10002
The Classical Euphonium |
$
9.99 |
|
| |
CD-10006
A Cape May Christmas |
$
9.99 |
|
| |
|
|
|
|
|
8.7%
sales tax NY residents only |
---> |
_______ |
|
|
Fixed
shipping&handling |
---> |
$3.95 |
|
|
TOTAL
COST (Payable to JRB Records) |
---> |
_______ |
|
Allow 2 weeks for delivery.
We ship Media Mail within one day of the order.
Make money orders payable to JRB Records
THANK
YOU FOR YOUR ORDER
--------------------------------
CVC:
This is the number on the back of your card on the
strip where you sign. It is a 3-digit number and may
follow a longer number. On American Express Cards,
it is a 4-digit number on the front of the card. We
require it for added security. |
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