Electronic Order Form .pdf

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Original filename: Electronic Order Form.pdf
Title: Gurdjieff Music for Movements -- Order Form
Author: Andrea Brower

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GURDJIEFF MUSIC FOR MOVEMENTS
ORDER FORM

Please complete order form and mail it with your check payable to:

Gurdjieff Foundation of California

3117 20th Street, San Francisco CA 94110, USA – Attn: Music Project
DESCRIPTION

SET PRICE

QUANTITY

AMOUNT($)

o Organized by Movements Category

$350 USD

2
_________

$ 700.00
____________

o Organized by Title – French

$350 USD

Music for Movements – 3 Volume Set

o Organized by Title – English

o Organized by Title – Spanish
Shipping information:

$350 USD
$350 USD

0
_________

3
_________

1
_________

$ 0.00
____________
$ 1,050.00
____________

$ 350.00
____________

$ 2,100.00
6
TOTAL
_________
____________
Set Price includes shipping fee

William Dupen
NAME__________________________________________________________________________________________________________

202 Heather Lane
ADDRESS_______________________________________________________________________________________________________
Arcata
CA
95521
CITY____________________________________________________S
TATE_______________P
OST/ZIPCODE___________________
United States
(415) 686-9799
COUNTRY_____________________________________________________TEL:___________________________________________
exampleemail@domain.com
EMAIL_________________________________________________________________________________________________________

Any Special Shipping Instructions?__________________________________________________________________________

__________________________________________________________________________________________________________________

INSCRIPTION: The Music Set will be inscribed with the organization’s name inside the front cover.
In addition, we will inscribe the recipient’s name or the organization’s location on the second line.
Please indicate what you would like inscribed:


Test Form Inc.
Organization name:__________________________________________________________________________________

Additional line inscription (chose one):



Recipient Name:_______________________________________________________________________________________
- OR Organization location:_________________________________________________________________________________

GURDJIEFF MUSIC FOR MOVEMENTS
ORDER FORM

Questions? We also can accept payment via bank wire transfer or via PayPal. Please contact the
Music Project Coordinator, Andrea Brower directly for the alternative payment information or any
questions. andreabrower@gmail.com


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