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: _____