
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.
Acct. Name_______________________________________________________
Address
____________________________________________________________
City,
State, Zip _________________________________Phone: _______________________
Method of Payment ___ Visa
___ MasterCard ___ Discover ___ Am Express
____Check #____________ Shipment Method:
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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
__________________