Ed Sale Music Company.
Post Office Box 55
Rushford, New York 14777
Fax (585) 437-2106 (Credit Cards Only)

Name:________________________________________
Address:_____________________________________ Apt./Suite:________________________________
City:________________________________________ State/Zip.:________________________________
Phone: (____)_______________ Fax: (____)_________________
Payment by:
[ ] Certified Check Or Money Order
[ ] Personal Check
[ ] Credit Card		 [ ] Visa
[ ] MasterCard
Interbank #_____________________________
Card #_________________________________
Exp. Date:______________________________
Signature:______________________________

OUR GUARANTEE!
You must be 100% satisfied with what you order, or you may return it within 10 days for a complete refund,
or credit towards another purchase.

 PLEASE NOTE!
Our discounted prices are based on current manufactures suggested prices.
We reserve the right to change these prices without notice and to correct typographical errors.
Qty. Item # Product Name Price Ea.
Total
      $ $
      $ $
      $ $
      $ $
      $ $
      $ $
      $ $
  Merchandise Total $
*Shipping & Handling Charges $
*Foreign Shipments $
Sales Tax - Florida Residents ADD 7% $
Thank You, for your Order! Total $

*For Shipping & Handling Charges please refer to the chart on the Order Information page.

Comments or special instructions:
___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________