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Contact Information

Name ___________________

Address: ____________________________________________

City _________________        State _____        Zip __________

Phone Number (_______) __________-__________

Email: _____________________________________

Method Book Order

Book

Quantity

Price

Primer

$7.50

1

$7.50

2

$7.50

3

$7.50

4

$7.50

Total Number of Books

Sub-Total (Pricing)

Shipping Costs

1-3 Books:   $2.50

4-6 Books:   $5.00

7-10 Books: $8.50

Total Price

(Sub-Total plus Shipping)

Please fill out this form to send with your orders.

Please enclose check payable to Ann Patrick Green.

Patrick's Music School
649 W. Commonwealth Ave.
Fullerton, CA 92831