www.playpianonow.com/

Play Piano Now!
Mail & Fax Order Form

Print out on your printer.

Name _____________________________________
Address ___________________________________
City ______________________________________
State_______
Province___________________
Zip/Postal Code ___________
Country ___________________
Phone _____________________


E-mail Address ____________________________

Please note your email address in case we need to contact you concerning your order.

(U.S. dollars only)

___ CHORD STYLE PIANO (Beginner Lesson)   $25.00

___ CONTINUING CHORD PIANO   $77.00

___ HOW TO PLAY PIANO BY EAR   $99.00

___ DELUXE BLUES AND BOOGIE WOOGIE   $35.00

___ BLATANTLY BASIC BLUES   $39.00

___ PIANO TRICKS & LICKS   $12.00

___ INTRO AND ENDINGS   $23.00

___ POWER CHORDS   $23.00

___ PRAISE   $25.00

___ SEASONS/CHRISTMAS-book/two cassettes $39.95

___ (Book only) $15.95

ORDER TOTAL: $__________

Add $ 6.95 Shipping and Handling for all domestic (USA) orders. (Shipped by USPS Mail)

1. Payment must be in the form of a U.S Money Order, payable to:

M. Stephens Marketing
2400 Cypress St.
Suite 50, Dept.PMB 211
West Monroe, LA 71291 USA


2.

    Note:

    We accept Visa and Mastercard.

      Please include the following credit card information.
    • Your name, as it appears on your credit card.

      _____________________________________________________

    • Your credit card Number

      __________________________________________

    • The credit card expiration date. (example: 05/03)

      ___ / ____

    • Your credit card * billing address. ( The address where you receive your credit card statement. )

      _______________________________

      _______________________________

      ___________________________State____ Zip ___________

    • Your telephone number.

      ___ - _____ - _________

    • Your e-mail address.

      _______________@_______________________

    * For your protection, if your "billing address" does not match your credit card statement address on file with your credit card company, your order will not be shipped. Your "mail to" address may be any address that you select.

    Got questions? E-mail us here!

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    E-mail Address?

    Enter: Comments/Questions



    Please report any problems with website, ordering or any questions above.

    Thank you.

    Thanks in advance for your order!