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Chair Dancing® Canadian Residents Order Form Fax or Mail-in |
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| HOME | ABOUT | CDs/VIDEOS | LINKS | FEATURE | ORDER | CONTACT | |
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| Please Print this form to complete, fill in, then fax to 604-940-1705 or mail-in your Canadian order for credit card security. Thank you. |
| 1. INDICATE QUANTITY AND TOTAL VALUE | |||||
| Qty. | Item | Item No. |
Type |
Price |
Total |
| . | Chair Dancing - The Original Video | CMD600 | Video |
21.95 |
. |
| . | Chair Dancing - The Original on DVD | CMD600DVD |
DVD |
21.95 |
. |
| . | The Original (Audio Cassette) | CMD600A |
Audio Cass |
* 9.95 |
. |
| . | Chair Dancing - Around The World | CMD601 | Video |
21.95 |
. |
| . | Chair Dancing - Around The World on DVD | CMD601DVD |
DVD |
21.95 |
. |
| . | Around The World (Audio Cassette) ! | CMD601A |
Audio Cass |
* 9.95 |
. |
| . | Chair Dancing - Sit Down & Tone Up | CMD602 | Video |
16.95 |
. |
| . | Chair Dancing - Sit Down & Tone Up on DVD | CMD602DVD |
DVD |
16.95 |
. |
| . | Chair Dancing - More Sit-Down & Tone Up NEW | CMD604 |
Video |
16.95 |
. |
| . | Chair Dancing - More Sit Down & Tone Up NEW | CMD604DVD |
DVD |
16.95 |
. |
| . | More Sit-Down & Tone Up (Audio Cassette) ! | CMD604A |
Audio Cass |
* 9.95 |
. |
| . | Chair Dancing - Chair Yoga NEW | CMD605 |
Video |
21.95 |
. |
| . | Chair Dancing - Chair Yoga NEW | CMD605DVD |
DVD |
21.95 |
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| . | Chair Yoga (Audio Cassette) ! | CMD605A |
Audio Cass |
* 9.95 |
. |
| . | Chair Dancing - Through The Decades NEW | CMD606 |
Video |
21.95 |
. |
| . | Chair Dancing - Through The Decades NEW | CMD606DVD |
DVD |
21.95 |
. |
| . | Through The Decades (Audio Cassette) ! | CMD606A |
Audio Cass |
* 9.95 |
. |
| . | Answer Is Not In The Refrigerator (Audio Prog) | CMD603A |
Audio Program |
16.95 |
. |
| . |
* Order the audio cassette with the video and pay only $5.00 more. (audio only $9.95) |
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| 2. INDICATE METHOD OF PAYMENT | Sub Total | ||
Check/Money Order payable to Capcan
Music Distribution |
Order 3 or more 10% Discount |
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VISA  |
MasterCard  |
Shipping ($8.00 1st item) ($1.00 each additional item) |
$
|
| Card # - - - |
. |
. | |
| Expiry Date: _______/_______ | Sub Total | $ | |
| Name on Card: | BC (only) 7% sales tax | $ | |
| Signature: X | GRAND TOTAL | $ | |
| 3. PLEASE PRINT CLEARLY | SHIP TO: (If different than No.3) |
| Name: | Name: |
| Address1: | Address1: |
| Address2: | Address2: |
| City: | City: |
| Prov: | Prov: |
| Postal Code: | Postal Code: |
| Tel: (for confirmation) | - |
| Fax: | - |
| Email: | - |
| Back to Canadian Chair Dancing® Page Click Here |
| Capcan
Music Order-Line Fax# (604) 940-1705 10-5053-47th Avenue, Delta, BC V4K 1R2 |
| | HOME | ABOUT | CDs/VIDEOS | LINKS | FEATURE | ORDER | CONTACT | |
