Order Form

Order Form for Brass Teaching Products from Brian Kay

Date:_________________________________________________________________

Name:________________________________________________________________

Address:______________________________________________________________

City:_________________________________________________________________

State:________Zip Code:_______________ Country:__________________________

Phone:______________________ Email address:_____________________________

QTY	COST	ITEM	TOTAL
	$12.00	Trombone, Intermediate Method, Volume 1
	$12.00	Euphonium, Intermediate Method, Volume 1
	$12.00	Tuba, Intermediate Method, Volume 1
	$12.00	Trumpet, Intermediate Method, Volume 1
	$12.00	Int. Method, Volume 2, Rough Draft Edition (Trombone Only)
		Subtotal Cost of Music
		Add $3.00 per order postage and handling.
		Add $6.00 Additional for orders shipped outside USA or Canada.
		TOTAL

Please print this order form and mail with check or money order in U.S. funds to:

Brian Kay
13 Loker St
Natick, MA 01760

Thank you for your order.