Musique Jacquot
Box 1     Jordan Station      ON      L0R 1S0     Canada

 
1-800-461-3644    
GST Reg. No. R125574608
Purchase Order No.__________ORDER FORM               Date:_________
Quantity
Product Name
  Cost
  Total
  Curriculum-based songs VOLUME 1 CD      $15.95  
 
Curriculum-based songs VOLUME 2 CD
     $15.95
 
BLM Activity book for VOLUME 1 CD
     $21.95  
 
BLM Activity book for VOLUME 2 CD
     $21.95  
SUB-TOTAL        
 
SHIPPING (7% of sub-total) (minimum $5.00)  
HST: 15%  (NB, NS & NF, Canada)  
GST: 7% (All Canada except NB, NS, NF)  
PST: 8% (Ontario residents, Canada only)  
QST: 7.5% (Quebec residents, Canada only)  
Total
 

BILL TO:
Name _________________________
Address________________________
City  __________________________
Prov/State____________________
PC/ Zip _______________________
Tel No (         )____________________ Authorized signature______________

SHIP TO:
Name _______________________ School______________________ Address_____________________
City  ________________________
Prov/State____________________
PC/ Zip _____________________ 
Tel No (         )_________________
E-mail ______________________

SEND ORDER with PAYMENT or PO to:
Musique Jacquot
Box 1      Jordan Station
Ontario    L0R 1S0     Canada

FOR INFORMATION CALL: 1-800-461-3644 (Canada only)
or 1-905-562-9171 (Outside Canada)

IF YOUR ORDER IS COMING FROM A SCHOOL,A SCHOOL CHEQUE IS GREAT!
IF FROM AN INDIVIDUAL,PLEASE SEND MONEY ORDER OR CERTIFIED  CHEQUE.