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Big Band Jump

ORDER FORM

You can order on line or you can fax to 404 231 7990
or to order by phone,
call toll-free 1-800-377-0022.
If we're not available at the moment you call, please leave a message and we WILL call you back.

Please provide the following contact information:

Name
Work Phone
Home Phone
E-mail

Please provide the following ordering information:

QTY ITEM NUMBER OR DESCRIPTION PRICE EACH
$
$
$
$
$
$
$
$
$
$
Merchandise Total    $
IF ordering three or more items: Less 10%  *  $
* This discount may NOT be combined with any other discount.
Merchandise Total    $
Total Shipping Due:   If free enter a zero.  
International Shipping add US   $10.00
Total Amount Due:  US 

 

 

BILLING
Credit Card
Cardholder Name
Card Number
Expiration Date

 

SHIPPING

INTERNATIONAL ORDERS:
Orders from outside the United States are subject to an additional $10.00 (U.S.) mailing charge.
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
You may wish to print this page before submitting.
You will receive a confirmation e-mail, but that e-mail comes from a real person who does not work 24/7, so it may be a little while before you get it.

If you are not comfortable using a credit card on line, you can complete this form and then call the number below. In the credit card box select card type " will call you".

To order by phone, call toll-free 1-800-377-0022.
If we're not available at the moment you call, please leave a message and we WILL call you back.

Copyright © 2011 Big Band Jump. All rights reserved.