Order Form

Hal Peterson Media Services
P.O. Box 5217
San Jose, CA 95150-5217

Print this form to order orchestra music by mail or to generate a purchase order.

Billing Address:
Name:
Address Line 1:
Address Line 2:
City: State:Zip Code:
Shipping Address:
Name:
Address Line 1:
Address Line 2:
City: State:Zip Code:
Telephone or E-mail:

Orchestra Publications:

Quantity	Catalog Number	Title	Weight	Price	Amount
	OR001	America the Beautiful Study Score	1 lb.	$9.95
	OR002	America the Beautiful Performance Set and License	5 lb.	$75.00
	OR003	Avenue of the Stars - Study Score	1 lb.	$9.95
	OR004	Avenue of the Stars Performance Set and License	5 lb.	$75.00
	OR005	Classical Overture - Study Score	1 lb.	$12.95
	OR006	Classical Overture Performance Set and License	12 lbs.	$175.00
	OR007	Dances at Threave - Study Score	1 lb.	$13.95
	OR008	Dances at Threave Performance Set and License	12 lbs.	$175.00
	OR009	Fantasia Tarantella - Study Score	1 lb.	$14.95
	OR010	Fantasia Tarantella Performance Set and License	13 lbs.	$195.00
	OR011	prologue - Study Score	1 lb.	$9.95
	OR012	prologue Performance Set and License	5 lb.	$75.00
	OR013	Sound Posts - Study Score	1 lb.	$11.95
	OR013	Sound Posts Performance Set and License	10 lb.	$95.00

Subtotal for Publications Ordered
California Orders Must Add 8.25% Sales Tax
Total Weight Ordered in Pounds
Add Shipping/Handling (see notes below)
Total Order (Subtotal + Tax + Shipping)

Check Enclosed Money Order Enclosed. All payments must be in U.S. funds.

• $4.20 for the first 2 pounds + $1.20 per each additional pound.
• All items are shipped via Priority Mail.
• International Orders (outside USA and Canada) must contact our office for shipping information and costs. Use the above address or FAX request to (408) 267-6439.
• If a purchase order is used (schools, school districts, or performing arts organizations only), this order must be submitted on the proper purchase order form. Terms: 30 days net.