BANDROOM.COM PUBLICATIONS Order Form

Date: _________   Purchase Order Number: __________________

Purchaser Information

School Name: _________________________________________________

Address: ________________________________________________________

City: ___________________________ State: ___________ ZIP: ____________

Fax number: _______________________

Band Director's name: _______________________________________________

Bandroom phone: ______________________ Email address: __________________

ITEMS and COST

Item #1: ________________________________________ Cost: ________

Item #2: ________________________________________ Cost: ________

Item #3: ________________________________________ Cost: ________

Shipping: __ Standard Service ($6 per order);  __ Express Service ($22 per order)

Special Instructions OR Ship-To-Address (if different than school address, above)

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Each concert band work purchased by a school will be issued a site license granting permissable photocopying of parts. How should your school name read? (up to 28 characters; please print one character, including spaces, in boxes below)

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Please mail this form and your Purchase Order number (or money order/check) to:
 Bandroom.com Publications, 113 Royal Springs Lane, Crawford, TX 76638.
You will receive a confirming email the day the order is received.

THANK YOU FOR YOUR ORDER!   Questions about ordering?