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| Send this form with
check or money order (U.S. Banks only please) to: Lee Galloway Music Sales 2409 Boundary Street San Diego, CA 92104-5311 USA For credit card orders go to: amazon.com Ordering through this order blank will provide an autographed copy of Lee Galloway's the Canon in D, also known as "Canon Fantasy." Print this order blank out, fill it out, and mail it to the address which is on the order blank with a check for the appropriate amount. The check must be on a U.S. Bank. I am sorry to say that we cannot take checks based on banks from foreign countries. If you would like to use a credit card for the sheet music, or if you are ordering from a country other than the U.S., go to: www.HalLeonard.com This sheet music has been recently printed by the Hal Leonard Corporation and can be ordered from their website by clicking on the link above. Thanks, Lee |
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| First Name: | _______________________________ | ||||
| Last Name: | _______________________________ | ||||
| Address: | _______________________________ | ||||
| Address: | _______________________________ | ||||
| City: | ________________ | State: |
____ | ||
| Zip: | __________ | ||||
| Phone: | _______________________________ | ||||
| E-Mail: | _______________________________ | ||||
| ____ copies of "Soothing the Soul" CD, $15.95 ea. | |||||
| ____ copies of Canon in D, sheet music, $4.95 ea. | |||||
| ____ copies of Nocturne, sheet music, $4.95 ea. | |||||
| ____ copies of Reflections, sheet music, $4.95 ea. | |||||
| __________ Sub-Total | |||||
| __________ Tax CA Residents add tax (x.0750) |
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| __________ Shipping ($3 for the first item, $1 for each additional item) |
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| __________ Total | |||||