NORTH SIDE MUSIC
Printable Order Form

Web: northsidemusicwi.com        Email: salesNSM@gmail.com

Quantity Item# Description Format Unit Price Total
           
           
           
           
           
           
           
  SUB-TOTAL  
Music Notes
Shipping Charges 5.5% Sales Tax (WI)  
1-2 items = $2.50 Tax-Exempt #  
3-4 items = $3.85 Shipping Charges  
5 or more = 10% TOTAL AMOUNT  
PAYMENT METHOD:
PRINT FORM AND SEND TO:
Check   Purchase Order # __________________


NORTH SIDE MUSIC
1314 Birch Street
Eau Claire, WI 54703
OR CALL:

1-800-491-6055
1-715-832-4014
OR FAX:
1-715-552-1452

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Make checks payable to: NORTH SIDE MUSIC
VISA   MasterCard   Discover
   Name on Card: _______________________________
   Card Number: ________________________________
   Expiration: _________________________________
SHIP TO:
NAME:  
ATT:  
ADDRESS:  
CITY:  
STATE:   ZIP CODE:  
PHONE:  
BILL TO: (Purchase Order Only)
NAME:  
ATT:  
ADDRESS:  
CITY:  
STATE:   ZIP CODE: