Harps of Lorien Order Form
Print, Fill Out, and Mail or Fax Order
Name: ________________________________________________ Date: __________
Address: ______________________________________________________________
City: ______________________ State: ___________________ Zip: __________
Phone: _____________________ Email: ___________________________________
Quantity | Item | Description | Price | Total|
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Total Merchandise | |
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Shipping (Continental USA) | |
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Sales Tax (New Mexico only): 7% | |
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TOTAL | |
Enclosed Is My Check/Money Order in the amount of _____________________
(or) Charge My Order To: (__American Express) (__Visa) (__MasterCard)
A/C _______________________________________Expires: _______________
3-digit code from back of card:_________
Signature: ____________________________________________________________
Shipping Costs for Continental USA Only. Please Include Payment With Order. ALL PRICES ARE SUB-
JECT TO CHANGE. We want you to be completely satisfied. If you are dissatisfied with any item,
please return it in good condition within 14 days to receive a full refund. Kinder Lyres and
Little Minstrels guaranteed on materials and workmanship for one year from date of purchase.
Mail or Fax To: Phone: (575) 586 1712
HARPS OF LORIEN Toll Free: (877) 273 8009
PO Box 77, Questa, New Mexico 87556 Fax: (575) 586 0369
E-mail: raphael@harpsoflorien.com
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