Glad Music Company Mail / Fax / Phone Order Form
Fax your order to: Mail your order to: Phone your order to:
Glad Music Company
Catalog Orders
Fax to: 281-397-6206		 Glad Music Company
Catalog Order
14340 Torrey Chase, Suite 380
Houston, Texas 77014		 Catalog orders
Phone toll-free: 888-397-5556

What are your selections from our catalog?

Title

Item No.

 Quantity Price Total
         
         
         
         
         
         
         
Merchandise Subtotal  
Shipping & Handling: $.01-45.00=$3.00; $45.01-90.00=$5.00; $90.01-135.00=$6.50; $135.01-200.00=$7.00 ($200.01+ please call)  
Texas residents, please add sales tax  
Total  

Your name and shipping information:

Your name: Ship to (if different):
Address:  Address:
City: City:
State: Zip: State: Zip:

How would you like to pay? ( your selection and complete the information below)

 

Visa
 

Mastercard		  
 

American Exp.
 

Personal Check
Name on card:
Card number: Expiration date:
Signature:

Thanks for your business.  Please allow 10 to 14 days for normal delivery.