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Printable
Order Form
Cedar Mountain
Drums
2237 East Burnside, Portland, OR 97214-1653
(503) 235-6345 Fax: (503) 230-0843
patrick@cedarmtndrums.com
Order Date____________
Sold to:
Name:_________________________________________________
Company:_______________________________________________
Address:________________________________________________
City:______________________ State or Province: ____
Zip:_______
Country: ___________
How did you find us? _____________________________________
Phone: _________________ Fax: ___________________
Email:_________________________________________
Check, Money Order or Bank
Draft enclosed: ___
Master Card _____, Visa _____, Amex _____, Discover _____
Card Number: _______-_______-_______-_______ Expiration Date: ___/___
3 digit code (last three numbers on
back of card, 4 digit for AMEX)
________
If billing address is different than
address given above for your card, please print billing address and zip
code
_________________________________________________________________
_________________________________________________________________
Signature: [name as on card] _____________________________________
Special Instructions:
How to use this form:
1) Please print this Order Form and
How to Order
2) Fill out after printing
3) Add shipping charges
[see shipping directions]
4) Enclose payment or credit card data, please remember signature
5) Mail to above address, or fax if credit order
Refer questions to:
patrick@cedarmtndrums.com,
or call: (503) 235-6345; fax: (503) 230-0843
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