Order

	PWS Personnel
Robert Simon, Artistic Director

Piedmont Wind Symphony
CD ORDER FORM

FIRST NAME	LAST NAME
ADDRESS
CITY	STATE ZIP
WORK PH	HOME PH
EMAIL
*Ship to (if different from above)*
SHIP TO NAME
SHIP TO ADDRESS
CITY	STATE ZIP

Quantity	CD Title	Price	Extension
	Piedmont Wind Symphony Live, Vol I & II (2 CD set)	20.00
	Piedmont Wind Symphony Live, Vol III (1 CD set)	15.00
	Frederick Fennell Live with the Piedmont Wind Symphony (2 CD set)	20.00
	A Piedmont Celebration (1 CD set)	15.00
	Total CDs	Sub-Total	$
NC residents add 7% sales tax
Shipping & Handling: $3.95 for first item; $1.00 each additional item to same address. Order will be shipped Priority Mail.
Total (US Dollars Only)			$

TO PAY BY CHECK	mail this form along with your check made payable to: The Piedmont Wind Symphony 526 S. Stratford Road, Winston-Salem, NC 27103
TO PAY BY CREDIT CARD	either mail this form or fax to 336.761.8107
	o Visa o MasterCard o American Express o Discover
	Card Number
	Expiration Date
	Name as it appears on your card
	Signature

FOR GIFT ORDERS
(Please fill out separate order forms for each shipping address.)

o Check here if you would like to include a gift card.
Message for gift card:

Thank you for your order!

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