12650 Directors Dr., Suite 500

Stafford, TX 77477                              Date _________________

phone:1.800.852.8463
or 1.281.565.8463

fax: 281.565.8467    Customer ID #__________________

          
DTS International Order Form

If you are ordering from overseas,

Please print out and complete this form and mail with your check or credit card info to the address above.

You can also fax the completed form with credit card information.

 

Contact Name ________________________________________________________

 

Acct. Name_______________________________________________________

 

Address ____________________________________________________________

                                                         

City, State, Zip _________________________________Phone: _______________________                                                                         

Method of Payment       ___ Visa  ___ MasterCard  ___ Discover  ___ Am Express

                                   

                        Card #______________________________________________ Exp. Date________

                                                                                   

                                    ____Check #____________                Shipment Method:

                                                                                          FedEx or Int’l Parcel: ________________

Item #

Qty

Description

Price Each

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                            

For exact shipping cost, please   email                                     Merchandise Total _________________

 info@vineyardmusicusa.com with subject

Line-stating Attn: Doin-The-Stuff.                     Wholesale Discount (if applicable)_________________

Please include your name, address,

and the product you would like to order.                     Postage (Estimated)   _________________
                                               

                                                             TOTAL __________________