Capcan Music - Dave Baker CD Order Form, Fax or Mail-In

	Dave Baker CD's Order Form Fax or Mail-in
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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.

1. INDICATE QUANTITY AND TOTAL VALUE
Qty.	Item	Item No.	CD/ Cass.	Price	Total
.	A Portrait of the Westcoast in Song NEW	CMD519	CD	15.95
.	Songs & Sounds of Canadian Steam	CMD 520	CD	15.95	.
	Songs & Sounds of Canadian Steam (10 left)	CMD 521	Cassette	13.95	.
	This Land is What I Am	CMD 522	CD	15.95	.
	This Land is What I Am (4 left)	CMD 523	Cassette	13.95	.
.	.	.	.	.	.
.	.	.	.	.	.

2. INDICATE METHOD OF PAYMENT		Sub Total
Check/Money Order payable to Capcan Music Distribution		10 % discount for 3 or more	.
VISA	MasterCard	Shipping ($4.00 1^st item) ($1.00 each addt'l 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: (confirmation)	Fax:
Email:	-

Back to A Portrait of the Westcoast in Song page.

Capcan Music Order-Line Fax# (604) 940-1705
10-5053-47th Avenue, Delta, BC V4K 1R2

Capcan Music Distribution www.capcan.com
Mail in your orders or fax to:
10-5053-47th Avenue, Delta, BC V4K 1R2 Canada Tel: 604-940-0147 / Fax: 604-940-1705
Email and Web Master: pchipman@telus.net