| Institute of Mediaeval Music | ||||||||||
| 1270 Lampman Crescent | ||||||||||
| Ottawa, Canada | ||||||||||
| K2C 1P8 | ||||||||||
| ORDER FORM | ||||||||||
| OPTIONS: | 1) print this form, fill it out and mail it to the address above; 2) fax the completed form to 1-613-225-9487; | |||||||||
| 3) send the information requested below by E-mail to: mediaeval1@rogers.com | ||||||||||
| Vol. No. | TITLE(S) | Price | ||||||||
| Your address: | Total: | |||||||||
| Note: postage is extra! | ||||||||||
| Payment must be made by cash, cheque, VISA or MASTERCARD (only). If paying by cheque, | ||||||||||
| we will include an invoice with the shipment to be paid upon receipt of the book(s). | If paying by credit | |||||||||
| card please include the following: | ||||||||||
| VISA ____ | MASTERCARD ____ | NUMBER: ___________________________________ | EXPIRY: _____ | |||||||