DISCOUNT REED COMPANY


24307 MAGIC MOUNTAIN PARKWAY PMB #181, VALENCIA, CA 91355
(Phone 1-800-428-5993 / 661-294-9437)

Fax - 661-294-9762

Printable Order Form

Be sure to click in this frame before you hit "print" on your browser

An order form for new customers and others who wish to mail, fax or phone in their order. Please print this page and either fax or mail the filled out form to Discount Reed Company or call Discount Reed Company on their toll-free number with your order. (Toll-free number not available on international calls.)

We will fill your order promptly. Thanks.

ORDERED BY:
(Credit card customers indicate address
where statements are received)

Name_____________________________________

Address___________________________________

__________________________________________

City_________________State____Zip___________

Country__________________________________

Phone___(______)____________________________
 SHIPPED TO:
(Only if different fromORDERED BY)


Name_____________________________________

Address___________________________________

__________________________________________

City_________________State____Zip___________

Country_______________________________

Phone__(_________)__________________________


E Mail Address ____________________@___________________
(Required For All International Orders.)
SHIPPING

Shipping is only $2.50 for U.S.A., Puerto Rico and Virgin Islands. Shipping to Canada is $5.00 for orders with a subtotal of $50-$200, and 8% for orders over $200. All other countries add 12% of subtotal. International orders will be sent via Air Mail.

Orders will be shipped via UPS or First Class Mail.

Orders to P.O. Boxes, Alaska, Hawaii, Canada and APO will be shipped via First Class Mail.


METHOD OF PAYMENT

____Visa  ____MasterCard  ____Discover  ____Check  ____Money Order 
(All international orders must be paid for by credit card.)

Name_________________________________

Card Account Number____________________________________

Expiration Date__________________________________________

Security Code __________________________________________
(Security code is the last three numbers on the back of the card)

Signature_______________________________________________

(Signature required for Credit Card orders).
$25.00 minimum subtotal on all orders (U.S.A. and U.S. territories) and
$50.00 minimum subtotal for all international orders.


Quantity Brand Name Instrument Reed
Strength		 Unit
Price		 TOTAL
           
           
           
           
           
           
           
           
           
           
           
SHIPPING

Shipping is only $2.50 for U.S.A., Puerto Rico and Virgin Islands. Shipping to Canada is $5.00 for orders with a subtotal of $50-$200, and 8% for orders over $200. Shipping to all other countries is 12% of subtotal. International orders will be sent via Air Mail.
SUBTOTAL     $
TAX 
California Residents 
add 9.75% tax 		 $
SHIPPING  $
GRAND TOTAL   $