Musically Inclined Order Form

41 Garret Place

Glen Rock, New Jersey 07452

(201) 447-6178, email musicisfun428@aol.com

Name:

Street:

Apt. No.

City:

State:

Zip:

QTY

Part
Number

Description

Total
Price

Shipping and Handling Charges:
All orders shipped UPS

Orders up to $ 20.00 -- Add $ 3.50
Orders over $ 20.00 -- Add $ 4.50

Sub Total

6% Sales Tax (N.J. residents only)

Shipping/Handling

TOTAL

All orders must be accompanied by payment in full-
Prices are subject to change without prior notice

Satisfaction Guaranteed