Basso Music Publications

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Order Form

Basso Music Publications is not a secure website, so to place your order please: PRINT OUT this page, fill in the necessary information, and: MAIL IT, along with check, money order or credit card info to: Basso Music Publications 6716 W. Canal Point Lane Fort Wayne, IN 46804 --OR-- FAX IT in to us (credit card orders only) at (260) 432-1590 between 9 am & 9 pm EST (you may also call us at that number with any questions).

Name :

Shipping Address :

 



Billing Address :

 



Telephone :

E-Mail :

Type of Credit Card: ___VISA ___ MC
Card Number ________-________-________-________

Expiration Date _____/______ (MM/YY)
Sign here to authorize billing: ____________________________________



Cat # Composer Title Qty. @Price Total US$$
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SUBTOTAL

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INDIANA Residents add 7% sales tax

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SHIPPING CHARGES: Orders up to $30, add $3/ Orders $30-50, add $5/ Over $50, add $8

   

To Canada & Mexico add $2 to above, other foreign destinations add $5

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TOTAL =

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