TITLE
COST
QUANTITY
TOTAL
SR-16 BALLROOM RHYTHMS CD
$ 95.00
$
SUBTOTAL 1
$
Maryland Residents add 6% sales tax
$
SUBTOTAL 2
$
Shipping & Handling
$ 2.00
GRAND TOTAL
$

Your Name:___________________________________________________

Street:_______________________________________________________

City:_________________________________State:_______Zip:_________

Orders will be shipped within 7 working days of receipt of Money Order or Cashier's Check, and within 12 working days of receipt of personal check.

Thank you for your order! Please make your Check or Money Order payable to:
Helmut Licht
and mail your order to:

Helmut Licht - 409 Lyman Avenue - Baltimore, MD 21212

Telephone: (410)-323-0866
Alesis SR-16 Order Form
Please, see below for PAYPAL charge option!
You may CHARGE your purchase using PAYPAL