East Coast Music Services Order Form

Please verify your order below, print it out, add your payment details, and fax or mail it to:

East Coast Music Services
253 Molson Avenue
Saint John, New Brunswick, Canada, E2M 3J8
Tel: (506) 672-9073
Fax: (506) 674-9084


 PURCHASER/SHIPPING INFO

   
 
, ,   
 
Tel:   
Email:   

 ORDER DETAILS

ITEM ID NAME QTY PRICE TOTAL
 
pre-tax/pre-shipping TOTAL: $0.00 CAD
≈ $0.00 USD

SPECIAL INSTRUCTIONS

None

PAYMENT METHOD

  • remember: prices do not include applicable taxes and shipping fees.  Do you wish to be notified of these charges prior to billing your credit card?

Yes, I wish to be notified of any taxes & shipping fees prior to billing.
No, add applicable taxes & shipping and ship out ASAP.

Visa Card Number ____________________
Exact Name on Card ____________________
Expiry Month/Year ________   /  ________