DEEP LISTENING CATALOG ORDER FORM
Thank you for your order!
MAIL THIS FORM TO: Deep Listening Catalog, Deep Listening Institute, PO Box 1956, 75 Broadway (Historic Rondout)
Kingston, NY 12402
OR FAX: 845-338-5986 OR TELEPHONE: 845-338-5984 or 800-560-6955 OR EMAIL: dlc@deeplistening.org
BILL TO:
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| Country: | Zip or Country Code: | |
| Telephone: | Fax: | Email: |
SHIP TO:
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CATALOG # |
TITLE | PRICE EACH | QUANTITY | TOTAL $ |
SUBTOTAL 1: |
$ ___________ |
SHIPPING AND HANDLING (see below): |
$ ___________ |
SUBTOTAL 2: |
$ ___________ |
(New York State Residents Only, multiply by 8% ) SALES TAX: |
$ ___________ |
TOTAL DUE: |
$ _________ |
| PAYMENT MADE AS: _____ Cash _____ Check # _____ Purchase Order # ______________ |
Credit Card (Circle): Mastercard Visa American Express DATE PAID
Name Exactly As on Card __________________________________________________
Card # _____________________ Expiration Date ______________
Shipping
& Handling charges are as follows: |
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North America: First
4 items, $5.50 each additional, $1.00 |
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South America: |
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Europe: |
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Asia/Africa/Pacific Rim: |
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Special
Requests and Orders: |
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| Shipping
by UPS, Fedex, parcel post,overnight, etc. Billing postage to your company account. First Class Air for foreign orders, insured mail, etc. Gift Orders, and Standing Orders for institutions. Wholesale info for Deep Listening Publications items. |
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| -- FOR OFFICE USE -- | SOLD BY: | |
| DATE OF ORDER | DATE SHIPPED BY | INVOICE #: |
| SHIPPING WEIGHT | SHIPCOST (if different $) | CARRIER |