MalletWorks Music

P.O. Box 302
Wilton, CT 06897
Tel: 203.762.8083 Fax: 203.762.8079
E-mail: mwmusic@attglobal.net
RENTAL INFO: 203.453.5052 Rental Fax: 203.453.6563

NAME:___________________________________________________________________
ADDRESS:________________________________________________________________
CITY:__________________________________ STATE:_____ ZIP:__________________
E-mail Address:__________________________ PHONE # _________________________

If the mailing address listed above is different from your Visa/Mastercard billing address, please enter your billing address here. This address will never be used for anything other than our records but we must have it to verify your card. No orders will be processed without the proper billing address.

ADDRESS:_______________________________________________________________
CITY:______________________________________ STATE:_____ ZIP:_____________

QTY . . . . . . . . . . . . . . . . COMPOSER / TITLE . . . . . . . . . . . . . . . . . . . . . . . AMOUNT
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SUBTOTAL . . . . ______________
. . . . . . . . . . . . . . . . . . . . . . . . . Connecticut residents add 6% sales tax. . . .______________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SHIPPING . . . . . ______________
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Shipping within the US:
Sheet Music: All orders are $5 .25 CD Shipping: $1.50 for the first CD and $1 for each additional CD.
All orders are shipped USPS First Class - Overnight service available upon request.
Overseas Orders:
For Sheet Music and CD's: $10 + $1 for each item ordered (U.S. Currency)
If ordering the Vibes Real Book: $15 plus $1 for each item ordered. (U.S. Currency)
Method of Payment:
Charge to Mastercard or Visa (enter info below)
Check or Money order payable to MalletWorks Music
School Purchase order (copy required)

Signature_____________________________________________ Date _______________

Visa/MC# __/__/__/__/ - __/__/__/__/ - __/__/__/__/ - __/__/__/__/ Exp. Date ___/___

Here's how to order:
By Mail: Complete this order form and mail it to MalletWorks Music.
By Fax: Fax this order form to 203.406.0665 with credit card info anytime day or night.
By Phone: Call 203.327.2854 and leave complete order and payment info.
*Note: If no one is available to take your call, you may leave a message with all necessary info.
All messages received are confidential and secure.

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