AURIGA MUSIC         ORDER FORM for Products and Services  :
Please print out this form, fill in information, and snail mail this form to:
Auriga Music Publishing Co. , Box 1933 Cathedral Station, NY,  NY 10025-1553 USA
Shipping Table Click here
 SHIP TO: Name:______________________________________________________

Address:____________________________________________________

City____________________________________________         Country_________________

Postal Code:____________________________________

Gift Message: _________________________________________________
                                                                                                                                         _________________________________________________________

e-mail:______________________________________________________

                   DESCRIPTION                                     QUANTITY                                            PRICE PER
    • Click here for Shipping Table
    Shipping Method:
    Please circle one
    First Class     Priority
  • S & H :US $
    		•
  •   TOTAL:US $
  •  
    		•

    METHOD OF PAYMENT : Please circle one

    VISA        MC       A E        DINERS          DISCOVER     NOVUS

                        IMO Payable to Auriga Music Publishing Co.


     

    Card #_____________________________________________Exp. __    __/___   __/__    __

    Billing Information: Name:______________________________________________________

    Address:___________________________________________City_______________________

    Country___________________________________________Postal Code________________

    e-mail:____________________________________________

    Signature__________________________________________________________