Mrs Stewarts Piano Lessons-Printable Order Form

Printable Order Form

Mrs Stewart's Piano Lessons©

Order Date:________________________

Ordered By:
Name:________________________________
Street Address:________________________
City/State/Zip:____________/_____/________

Ship To: (If different)
Name:________________________________
Street Address:________________________
City/State/Zip:____________/_____/________

EMail:________________________@________________________________________________

Telephone: (_______) _________-______________________

Privacy Policy: Names, addresses, email addresses, etc will NOT be given out. They will only be used for the intended shipping purposes and for occasional news or updates of Mrs Stewart's Piano Lessons.

**Lesson Books and Video Listing**
Stewart Piano Book/Video Title	Price Each	Total Price
Mrs Stewart's Piano Lessons© Book I	$17.95
Music In Minutes Video (with Mrs Stewart's Piano Lessons© Book I)	$35.00
Music In Minutes Video© (without Book I)	$19.95
Mrs Stewart's Piano Lessons© Book II	$17.95
Stewart Pre-School Piano Book with Pre-School Piano Teacher Instruction Book	$17.95
Stewart Pre-School Student Book	$8.95
Stewart Pre-School Teacher Book	$8.95
Arizona Sales Tax 7.95% (Arizona Residents only)
Shipping & Handling		$6.95
International Shipping & Handling will be quoted by email
Grand Total

We accept Visa and Mastercard orders.
For your protection we suggest that credit card orders be placed either
by telephone, an email enclosure encrypted with PGP, or mail this
printable order form.

Telephone: (231) 689-9960

Visa _____ MasterCard ______

Credit Card #: _______ ________ ________ ________ Exp. Date: ____ ____

Name on Card: ___________________________________

Card Holder Signature: _____________________________

Make money order or check (no cash please, US dollars only) payable to:
Stewart Piano

Mail order with payment to:
Stewart Piano
109 N. Wisner
White Cloud, MI 49349

Printable Order Form

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