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Order Form
5109 Georgia Avenue Order # ___________________
Nashville, TN 37209 Date _____________
Phone/FAX (615) 292-5196

Customer Billing Address (must be same as card) Shipping Address (if different)
Name __________ __________ __________ _______ Name __________ __________ __________
Address __________ __________ __________ _______ Address __________ __________ __________
City __________ ____ State _______ Zip _______ City __________ __________ __________
Phone __________ ____ Email __________ _______ State ________ Zip __________

Qty
Item #
Description
Unit Price
TOTAL
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_______________ ___________________ _________________________________ __________ ___________
Sub-total $
Payment Details

Don't send cash

O Money Order
O Check
O Credit Card

Ship/Hand/Insurance

$10 (Orders to $100)
$12 ($100-$250)
$15 (Over $250)
($25 Violin Order)
Most orders ship by USPS Priority Mail

Shipping
TN Residents add State Sales Tax
*
Please call for rates outside of US lower
48 states
(see chart)
9.25%
TOTAL

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$
$
$_________

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Credit Card #______-______-______-______ Comments:
Expires ___/___ Visa __ Mastercard __ AmEx __ Discover __
Signature _____________________________

Please indicate if backorders should be __Cancelled __Shipped when available (up to 4 weeks)
If a price change occurs: __Ship and bill any difference __Notify me before shipping if over 10%
Order is from catalog #_______, ___Website, Other:________________________________
Thank You For Your Order!
Please Visit Our Website: www.nashvilleviolins.com