| Gospel Gallery Order Form |
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Page 1 |
You may print out this order form and mail,
fax, or phone your order. In the very near future, orders may be
placed online, using MasterCard, Visa, Discover, and American Express through secure
means.
GOSPEL GALLERY
P. O. Box 140571, Nashville, TN 37214-0571
Telephone 615-885-8000 - Fax 615-316-0990
Email orders@gospelgallery.com
| Qty. |
Reference # |
Type
*
Codes at Bottom |
Artist and Title or Other Description |
Grade
For Records
Only |
Price
Each |
Price
Extention |
Sample
1 |
Sample
SM-1001 |
Sample
SM |
Sample
Sheet Music A Drink of Life |
Sample |
Sample
$3.00 |
Sample
$6.00 |
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Print
out another form if ordering additional items. |
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Total -----> |
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| *
Codes for Type |
CD -
Compact Disc |
CT - Cassette |
V -
Video |
ST -
Sound Track |
| SB -
Songbook |
LP -
Record Album |
45 -
45/45 EP Record |
78 - 78
Record |
BK -
Book |
| 33S - 33
Single/EP |
POS -
Poster |
PIC -
Picture |
MEM -
Memorabilia |
SM -
Sheet Music |
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Continue to page 2
----> |
Gospel Gallery Order Form
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Page
2 |
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Total Merchandise Order From
Previous Page |
$ |
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SALES TAX:
Tennessee Residents ONLY add 8.25% Sales Tax |
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SHIPPING/HANDLING:
Up to 4 cassettes/CDs/Tracks/45s, or 1 Songbook or 2 Albums or 78's. |
$ 5.00 |
ADD
ADDITIONAL SHIPPING: Over the above, add $.50 each additional
CD/cassette/video/45; $1.00 each additional album/songbook/78. |
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C.O.D. - Add
$10.00 Flat Fee |
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TOTAL ORDER |
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Please ship my order to:
| Name: |
| Address: |
| City: |
State: |
Zip: |
| Telephone: |
E-Mail Address: |
| Please
send check or money order to: Gospel
Gallery
P. O. Box 140571
Nashville, TN 37214-05710
Telephone 615-885-8000 FAX
615-316-0990
E-Mail orders@gospelgallery.com |
|
Please Check
One: |
| ___ |
I have enclosed payment
in full for my order. |
| ___ |
Please ship C.O.D.
($10.00 additional flat rate) |
| ___ |
Charge my ___
MasterCard or ___ Visa below. |
You may charge your order to your  Visa or  MasterCard by
completing the information below.
We will be accepting Discover and American Express in
early 2001. |
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| Account Number (please double
check) |
|
Expiration Date - Month/Date - Example
03 01 |
| _____________________________________ |
X_______________________________________ |
| Print Cardholder's Exact Name as on the charge
card. |
Cardholder's Signature |
NOTE:
To charge your order, we must have the exact name and exact
billing address which your account is mailed, or for security reasons, the charge will be
declined. Please check: _____ My billing address is the same as the
shipping address above. If not, the billing address of my charge card is below.
| Exact Name on my account: |
| Exact Address on my account: |
| City: |
State: |
Zip: |