Order Form

Name:
Address:
City:	State:	Zip code:
Country (If not USA):
Ship To: (If different from above.)
Address:
City:	State:	Zip code:
Country (If not U.S.):
Daytime Phone:
Night Phone:		e-mail address: *(useful for notifice of order status)*

For special instructions or requests: type in any empty instrument line.

Instrument:	Key:	Range / Size:	Price:
	.	.	.
	.	.	..
	.	.	..
	.	.	..
	.	.	..
	SubTotal:		..
	Shipping & Handling		..
	(ea. add'l flute add $2.)		..
	(ea. add'l book/CD/tape add $1.)		..
	VT. residents add 5% tax		..
	Order Total		..

Money Order

Check

Charge

If Charge:

VISA

PayPal

Account Number:

Expiration Date:

Name on Card:

Signature:

(Signature only necessary for fax or mail orders)

Billing Address:

(For Credit Card, if different from home address above.)

When finished, press "SUBMIT", only once. (You do not need to worry if you accidentally submit more than once, we will identify your order as only one order.)
To clear form and begin again, press "Reset."

Please wait for a confirmation notice, (it will show your submission data), which you can print out if you wish. If you include your e-mail address we will notify you within 24 hours of receipt of your order, and expected ship time.
If you wish to pay via PayPal, submit all information EXCEPT your credit card information, go to paypal.com and open or setup your account, and choose the "send money" option. Our PayPal account is under 'zacciah@sunreed.com'. Simply send the Order Total amount via this email account as per their instructions, and we shall send you verification upon receipt of funds.

Thank you for your order.

To return to our home page, click below.
Sunreed Instruments
Zacciah Blackburn, Owner
P.O. Box 389 / Hidden Glen Rd.
Ascutney, VT 05030 USA

Phone: (802) 674-9585 Fax: (802) 674-9586
e-mail us at: info@sunreed.com

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