Heroic Sounds CD Order Form

Checks made be sent to Old South Church 645 Boylston St., Boston, MA  02115 (617)536-1970
OR Credit Card Order Faxes to: (781)662-0020 c/o Shu Associates Inc.
NOTE: Credit Charges will be made c/o Shu Associates Inc. with total proceeds
to benefit Old South Church, a non-profit organization.

Submit your order via this form and it will be confirmed within 24 hours;
or you can print out this form and mail or fax it to the address noted above.
Deliveries will be sent out by first class or World Priority within 24-48 hours of receipt.

Your e-mail address (required: please don't skip): 

CD Quantity: 
Shipping & Handling Charge: 

If you have special instructions, write them in the Remarks section below.

Remarks on order: 



                                 TOTAL COST($US):

Shipping Address: 

        
          Name:          
       Company:           
        Street:             
          City:   

State/Province:         
      Zip Code:          
       Country:  
    
         Phone:              
           Fax:

Payment Information:
Card Type (MasterCard, VISA, American Express or Discover):  
  Credit Card #:  
Expiration Date:  Month (e.g."07")   Year (e.g."03") 


SIGNATURE (if mailing or faxing): __________________________________________


Billing Address (if DIFFERENT than above), i.e. where you receive your Credit Card Bill(i.e. home address vs. office address; we need this to authorize your charge order):


Name (exactly as it appears on card): 
                              Street: 

                                City:  
                      State/Province:        
                            Zip Code:         
                             Country: 
  




    

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If printing and mailing/faxing this form, send to:

 OSC CD

c/o Shu Associates Inc.

120 Trenton St.

Melrose, MA  02176-3714  USA


(781)662-0020 Tel & Fax



You can e-mail us with any questions by clicking here: OSC Communications