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Children's Music CDs 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 or mail-in your order for credit card security. Thank you. Please Note! |
| 1. INDICATE QUANTITY AND TOTAL VALUE | |||||
| Qty. | Item | Item No. | CD/ Cass. | Price | Total |
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Laurel & Jan - 'Flights of Imagination' | CMD300 | CD | $ 15.95 | . |
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Laurel & Jan - 'Flights of Imagination' | CMD301 | Cassette | $ 10.99 | . |
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Laurel & Jan - 'Miracle Island' | CMD302 | Cassette | $ 10.99 | . |
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Pamela Kay Hawkins - 'Rockin' The Day Away' | CMD303 | CD | $ 15.95 | . |
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| 2. INDICATE METHOD OF PAYMENT | Sub Total | ||
Check/Money Order payable to Capcan
Music Distribution |
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VISA  |
MasterCard  |
Shipping ($4.00 1st item) ($1.00 each addt'l item) |
$
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| Card # - - - | 10 % discount for 3 or more | . | |
| 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 Children's section |
| Capcan
Music Order-Line Fax# (604) 940-1705 10-5053-47th Avenue, Delta, BC V4K 1R2 |
| | HOME | ABOUT | CDs/VIDEOS | LINKS | FEATURE | ORDER | CONTACT | |
