| Composer | Title | Instrumentation | Quantity | Catalogue# | Price | 
  
    |  |  |  |  |  |  | 
  
    |  |  |  |  |  |  | 
  
    |  |  |  |  |  |  | 
  
    |  |  |  |  |  |  | 
  
    |  |  |  |  |  |  | 
  
    | Total Cost of Music |  | 
  
    | MA Residents add 
	6.25% sales
    tax |  | 
  
    | Total Cost of Music (before
      applicable discounts) = Shipping & Handling Charges$0.00 to $50.00 = $8.70,      $50.01 to $100.00 = $15.95,     
      $100.01 to $150.00 = $19.95,      Over $150.00 = $22.00
 Outside of the United States = Add an additional $32.00 to the above
      shipping charges
 |  | 
  
    | Total Amount enclosed in
    U.S. Currency (all checks and money orders must be drawn on
    a U.S. bank) |  | 
Name:_______________________________________________Date:___________________________
Address:_____________________________________________Phone:__________________________
             ______________________________________________Fax:___________________________
             ______________________________________________
             ______________________________________________
  
    | Circle one: | VISA / MasterCard / AMEX |  | Credit Card # |  | 
  
    | Authorization
    Signature___________________________ | Expiration Date (mm/yy):______/______ | 
  
    
      
        
          Fax or Phone in orders : 1-781-440-9444
Send orders to:    Amis
          Musical Circle
                                     
          282 Pleasant Street
                                     
          Norwood, MA  02062-4229  USA
        
      
    
  
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