Getsemani Music Order Form

Please print this form and mail with your payment to:

  Brian A. Oliva d/b/a
  Getsemani Music
  5802 Jeb Stuart Drive
  Milford, OH 45150-2117

Name:
  
Address:
  
City, State, Zip
  
Phone (xxx-xxx-xxxx)
  
e-mail address
  
Item
Description
Quantity
Unit Price
Total Price
GMCD-001
Expressions CD
 
$ 9.95
$          .
GMCD-003
Modern Love CD
 
$11.95
$          .
 
 
 
$          .
$          .
 
 
 
$          .
$          .
 
 
 
$          .
$          .
Sub-Total
$          .
Shipping and Handling (See below)
$          .
International Shipping: Add $1.50 per CD for delivery outside the USA/Canada
$          .
Total Enclosed
$          .

Shipping and Handling:
Orders up to $15.00: $ 3.00
$15.01 to $30.00:    $ 4.50
$30.01 to $40.00:    $ 6.00
$40.01 to $90.00:    $10.00
$90.01 and up:       $20.00