This E-Mail form is to be used by current customers who already have their credit card information on file with us. All others please use the Printable Order Form or call on our toll-free number:

 1-800-428-5993
Thanks

ORDERED BY
Credit Card customers indicate
address where statements are received
  Name
 Address
 
 
 Phone*
*(Phone number required for all orders)
 Email Address+
+(Required For All Orders.)
 City
 State Zip
 Country
SHIPPED TO
Only if different from
Ordered by
 Name
 Address
 
 
E Mail Address
 City
 State Zip
 Country
 Phone*
*(Phone number required for all orders)

Credit Card Information

$25.00 minimum subtotal on all orders ( U.S.A. & U.S. Territories) $50.00 minimum subtotal on all international orders.
Card Type
Last Four Digits on the Card
Expiration Date
Security Code
(Last 3 digits on back of credit card)


REEDS
(enter)
QUANTITY
(enter)
BRAND NAME/STYLE
(select)
INSTRUMENT
(enter)
REED STRENGTH
(enter)
UNIT PRICE
(add)
TOTAL
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $
$ $

ACCESSORIES
(enter)
QUANTITY
(enter)
ITEM NAME
(enter)
OTHER DESCRIPTION
color - instrument - size
(enter)
UNIT PRICE
(add)
TOTAL
$ $
$ $
$ $
$ $
$ $
$ $
$ $

SHIPPING

Shipping is only $2.50 for U.S.A., Puerto Rico and Virgin Islands. Shipping to Canada is $4.00. Shipping to all other countries is 12% of subtotal. International orders will be sent via Air Mail.
SUBTOTAL

(Note: $25.00 minimum subtotal on all orders from U.S.A. & U.S. Territories, and $50.00 minimum subtotal on all international orders.)		 $
TAX (Calif. residents add 8.25% Tax) $
SHIPPING
 $
GRAND TOTAL $

After filling out the Order Form, add any notes below and hit Submit ..thanks


Additional Notes to Discount Reed Company :