2016-20171A/2A/3Aor4A/5A/6AALL-STATEAUDITIONMUSIC
TUTORIALRECORDINGSORDERFORM
Box42033,Lubbock,TX79409-2033Email:[email protected]
Phone:806-834-6680Fax:806-742-2294
PLEASE PRINT
SHIPPING ADDRESS:
Name __________________________________________________________Date ___________________________________
School (if shipping to a school) ______________________________________________________________________________
Address _____________________________________________________ City ______________________________________
State ___________
Zip _________________
School Phone __________-____________________
Home Phone __________-_____________________________________
E-mail address __________________________________________________________________________________________
BILLING ADDRESS (if different from above):
Name ___________________________________________________ Department ___________________________________
School (or District) (if billing to a school) ______________________________________________________________________
Address _________________________________________________ City __________________________________________
State ____________
Zip ________________
School Phone ____________-___________________________________
Method of Payment: _____ Purchase Order # _________________
Credit Card_____
______ Check #__________________________________
Make checks payable to: Texas Tech University School of Music
***This form may be faxed to us ONLY if you are paying with a school purchase order or credit card. Please be sure to fax BOTH the
order form AND the purchase order. If you would like to pay with a credit card please call the phone number above to submit
credit card information***
PLEASE MARK ONE:
Quantity/Instrument:
4A/5A/6A ____________
_____Check here if you would like the CD version
of the 1A/2A/3A recordings
1A/2A/3A _______
(2016-2017 is year A)
Year:
__C
__A
__B
__D
__E
__ALL
USE THIS SECTION IF YOU ARE TAX EXEMPT
(If you are not a school, you MUST enclose a tax exempt
certificate or tax exempt number.)
____ Full set (13 MP3 files)
____ Flute/Piccolo
____ Oboe
____ Bassoon
____ B-flat Clarinet
____ Low Clarinet
____ Saxophone
____ Trumpet
___ Horn
___ Tenor Trombone
___ Bass Trombone
___ Euphonium
___ Tuba
___ Percussion
USE THIS SECTION IF YOU ARE NOT TAX EXEMPT
Price per MP3:
$12.00
Price per MP3:
$11.15
X Total Number of MP3 Files:
OR
Price per full set of 13 MP3 files:
______
$105.00
X Total Number of MP3 Files:
OR
Price per full set of 13 MP3 files:
X Total Number of Full Sets:
______
X Total Number of Full Sets:
________
Total Amount of Order:
$_______
Total Amount of Order:
$_______
_______
$114.00