Print out and mail this form to order the items
below.
OR
Click
HERE
to view and print a one page, PDF order form.
Orders must be paid in $ USA; enclose check or money order ONLY. Orders shipped to countries other than USA require Bank Check ONLY drawn on a USA bank. If you are unable to print this page, send me Email and I will send you an order form via email or by surface mail.
Name:________________________________________________________________
Address:______________________________________________________________
City:_________________________________________________________________
State:_________________ Postal Code:_______________ Country:___________
Phone:______________________ Email address:_______________________
ALL PRICES BELOW INCLUDE SHIPPING FOR ORDERS TO THE USA AND CANADA
| Qty | Cost |
Item |
Total Cost |
| ____ | $20.00 | DVD - Approaching the Serpent - NTSC FORMAT (USA, Canada, Japan, etc.) | $___________ |
| ____ | $20.00 | DVD - Approaching the Serpent - PAL FORMAT (UK, EU, Australia, etc.) | $___________ |
| ____ | $17.25 | Compact Disc AND Pen - Le Monde du Serpent CD AND Serpent Pen | $__________ |
| ____ | $15.00 | Compact Disc - Le Monde du Serpent | $__________ |
| ____ | $15.00 | Compact Disc - Two Of A Mind | $___________ |
| ____ | $15.00 | Compact Disc - Cornerstone | $___________ |
| ____ | $15.00 | Compact Disc - Take 1 | $___________ |
| ____ | $15.00 | Compact Disc - Proclamation | $___________ |
| ____ | $60.00 | Compact Discs - Le Monde
du Serpent, AND Two
Of A Mind AND
Cornerstone AND Take 1 AND Proclamation |
$___________ |
| ____ | $15.00 | Compact Disc - In The Family | $___________ |
| ____ | $20.00 | Music Book - "Mastering the Trombone" | $___________ |
| ____ | $3.25 | Pen - Le Monde du Serpent Floaty Pen ("Classic Floaty" style) | $___________ |
| __________ | Subtotal from Step 3 |
| __________ |
Overseas shipping (For ALL ORDERS shipped outside the USA and Canada)
|
| __________ | Grand Total Enclosed (Make Check payable to: Douglas Yeo ) |
|
9 Freemont Street Lexington, MA 02421 USA |