Stefan Grossman's Guitar Workshop. (Print this form and use it to fax or mail your order.)
| Customer
Information
Name:_________________________________________ Address:_______________________________________ City:_______________________ State/Prov:__________ Postal Code/Zip:_________________________________ Phone: __________________ Fax: __________________ Email: _________________________________________ |
Method
of Payment.
Check / money order in the amount of $_______________ MasterCard _____ Visa_____ Account Number: ________________________________ Expiry Date: __________ Security Code: _____________
Signature: ______________________________________ |
Items Ordered:
| Amount | Catalog # | Title / Description | Price |
Total cost of items ordered: $_______________________
Minus
any discount coupons: $_____________________
(Rec'd with previous orders)
New Jersey residents add sales tax: $_______________
Shipping / Handling charges (click here) $____________
Grand Total: $____________________
fax to: (973) 726-0568 mail to: Stefan Grossman's Guitar Workshop, PO Box 802, Sparta NJ 07871