NAME___________________________________
ADDRESS________________________________
                                     ^{street address
_______________________  __________ _______________}

Include Item, Description, Quantity, Unit Price, Total Price of the Item you are Ordering
for each item.
Total Amount of Order____________
Shipping and Handling____________
Total Amount Sent______________
E-mail or call with order to find out the amount of shipping and handling.
Missouri Residents add 6.1% sales tax to your order.

Mel Tack is a part of Blackwell Music Center
Mail with check or Money order to:
Blackwell Music Center
273 High Point Lane
Niangua, MO 65713
For more information call 417-473-6574
417-425-7124
 
 
 
 
 

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