Voz y Guitarra CD ORDER FORM * Print this page to fax or mail * |
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| Voz y Guitarra CD | Number ordered_____ (@ $15.00
each) =_____________ |
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| plus shipping $3.00 |
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Total: ____________ |
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| Name: | |||
| Address: | |||
| City: | State: | Zip: | |
Home Phone: ( ) Work Phone: ( ) |
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| Email address: | |||
| _____Check enclosed payable to UTD (mail only) |
_____VISA | _____MASTERCARD |
_____ Discover |
| Name on Card: | |||
| Account Number | Exp. Date: | ||
| 3 digit verification code (from the back of the card): | |||
| Authorized Signature | Date: | ||
| I would like to be notified
by phone _____ or e-mail _____ when this order form has been
received. _____ I would like to be on your mailing
list for upcoming event information. |
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| Fax to: 972-883-2762 Mail to: The University of Texas at Dallas School of Arts & Humanities: Art & Performance office, JO 31 P.O.Box 830688 Richardson, TX 75083-0688 |
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The
University of Texas at Dallas 