Mark Chudnow Woodwinds - Fax Order Form

Mark Chudnow Woodwinds
P.O. Box 3886 • Napa • CA • 94558
(800) 780-4340 USA & Canada • (707) 254-7388
Fax: (707) 254-7389
Please be sure to read the Order Information Page before faxing this form.

Name:

________________________________________________________

Home Phone:

________________________________________________________

Daytime Phone:

________________________________________________________

Fax:

________________________________________________________

E-Mail:

________________________________________________________

Street Address:

________________________________________________________

City:

________________________________________________________

State:

________________________________________________________

Zip Code:

________________________________________________________

Country:

________________________________________________________

Method of Payment:

Check Credit Card Money Order

Check #:________________

Credit Card #:

_____ _____ _____ _____ Circle One: Master Card Visa Discover

Issuing. Bank:

____________________________ Expiration Date:____________________

	Description	Option	Color	QTY	Price	Sub Total
1
2
3
4
5
6
Residents of California add 7.75% Sales Tax:
Shipping:
Total:

International Orders
International Orders are usually sent via US Air Parcel Post, Insured and/or Registered. We will contact you with the exact shipping charges and the total amount of your order.

Shipping Options:
USPS ground.....$5.75 (orders valued over $50.00 will be shipped via UPS)
UPS 3 day ground.....$9.50 (excluding AK & HI)
UPS 2 day air.....$12.50
UPS Next day air.....Upon Request
Canada & Mexico.....$8.00
International Orders.....$8.00 or actual charge, whichever is higher