ROBERT KING MUSIC SALES

RKM ORDER FORM

EXPRESS ORDER - if your personal information is in our database.
PRINTABLE ORDER/FAX FORM - print and fax your order.

Priority is always given to firm orders accompanied by Mastercard or VISA with the expiration date - please review our "How to Order" page for more.

If you are uncomfortable electronically transmitting this information via e-mail, please write or FAX us using the printable order form.

1.) MAILING INFORMATION

Name:

Address:

City :
State:

Country:
Postal Code (ZIP):

Other mailing information - optional:
E-Mail Address:

2.) MUSIC ORDERING INFORMATION - for each piece of music desired, please fill in all fields. For best service refer to your current BRASS PLAYERS GUIDE for correct title, composer, publisher code, instrumentation and price. Priority is given to complete orders.

(See the Universal Currency Converter if needed.)

1.

Title:
Quantity:

Composer:
Price:

Instrumentation:
Publisher Code:

2.

Title:
Quantity:

Composer:
Price:

Instrumentation:
Publisher Code:

3.

Title:
Quantity:

Composer:
Price:

Instrumentation:
Publisher Code:

4.

Title:
Quantity:

Composer:
Price:

Instrumentation:
Publisher Code:

5.

Title:
Quantity:

Composer:
Price:

Instrumentation:
Publisher Code:

6.

Title:
Quantity:

Composer:
Price:

Instrumentation:
Publisher Code:

3.) ORDER A 1998 BRASS PLAYERS GUIDE?

YES! I WANT THE 1997 BRASS PLAYERS GUIDE - $7.00 per copy.

Quantity BPG TOTAL $

4.) SUB-TOTAL COST OF MUSIC ORDER - (add sections #2 and #3).

$- (See - Universal Currency Converter.)

5.) CREDIT CARD INFORMATION

For the time being, this form is not secure. In the near future, a more secure procedure will be in operation. However, many customers have successfully used this page to order from RKM without any concerns or problems.

If you are uncomfortable electronically transmitting this information via unencrypted e-mail, simply write or FAX us instead.

Or see the printable order form page.

By entering your credit card number it is undertstood that you do so at your own risk.

Mastercard/Visa

Expiration Date

6.) SHIPPING AND HANDLING CHARGES - select the shipping option you desire.

Continental US

4th Class Mail & Handling - add $3.50

United Postal Service - add $4.50

If delivered in Mass., add 5% tax - $

Int./USMail (price per weight) - $

Canada Air Mail (price per weight) - $

7.) SHIPPING AND HANDLING CHARGE SUB-TOTAL - (add charges from section #6).

$

8.) FINAL TOTAL - (add sections #4 and #7). Required information.

$- (See - Universal Currency Converter.)

9.) ADD YOUR ACCOUNT INFORMATION TO THE RKM DATABASE?

To get the best service, your account information, name and address be can be stored in our database.

All customer information on the database of ROBERT KING MUSIC SALES, INC. is internal and confidential. We do not create, sell, distribute, or make available in any form whatsoever mailing lists from our database.

YES! ADD MY NAME TO THE RKM DATABASE.

10.) OTHER COMMENTS (optional):

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