LEVON ICHKHANIAN CD ORDER FORM

Please complete
the following form,
print and mail
 along with your
cheque or money order
 to:
MEDITERRANO PRODUCTIONS
250 HARDING BLVD W
 PO BOX 32174
RICHMOND HILL, ONTARIO
L4C 9S3   CANADA

CHEQUE OR MONEY ORDER PAYABLE TO MEDITERRANO PRODUCTIONS

 
 
NAME*
COMPANY
TELEPHONE
 FAX
EMAIL*

STREET ADDRESS*

APT
CITY / TOWN*
PROVINCE / STATE*
COUNTRY*
POSTAL CODE / ZIP*
*fields must be completed
TITLE
# OF COPIES
X
PRICE PER CD
SUBTOTAL
TRAVELS
X
Canadian Orders $20 Cdn
(includes all applicable taxes)
International Orders $20 US
$
AFTER HOURS
X
Canadian Orders $20 Cdn
(includes all applicable taxes)
International Orders $20 US
$
TOTAL CD
 $
SHIPPING & HANDLING
WITHIN
CANADA
 
REGULAR MAIL
(7 TO 14 DAYS)
 
EXPIDITED
(3-5 DAYS)
 
ADDITIONAL
ITEM
$
$2.95
$5.95
$2.00
OUTSIDE
CANADA
(US FUNDS)
 
REGULAR MAIL
(14 TO 21 DAYS)
 
EXPIDITED
(7-14 DAYS)
 ADDITIONAL
ITEM
$
US$2.95
US$5.95
US$2.00
TOTAL PAYABLE
$

international orders may be subject to your country's customs duty and taxes

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