Dave Fromer Music . . . . . . . . . . . . . . . . . . . . . . . . . BACK
CD Order Form:
This form is to assist you in ordering the CD "Shake A Hand".
Please feel free to use it for US Mail or fax ordering of the CD.
For phone or Fax ordering you must use a credit card.
If you choose to use US mail you can use either a credit card or check.
City: _____________________________ State: ___________ Zip Code: ___________
Phone Number: ____________________________________________
(Optional) To be used only if we need to contact you with a problem
(Optional) If you wish to be notified of new releases or upcoming appearances of Dave Fromer Check Here: ________
Shake a Hand CD: Number of CD's _______ X $15.00 = _________________
CA resident sales tax: " of CD's _______ X $ 1.10 = _________________
Shipping & Handling: For one CD = $1.95
For 2 or more = $3.95
Make Checks Payable to: "Dave Fromer Music"
Credit Card Type: ___________________________(Visa or Master Card Only)
Credit Card Number: _______________________________________________
Name as it appears on the card: _______________________________________
Expiration Date as it appears on the card: _______________________________
Zip Code for billing of this credit card: _________________
Shipping Information, if different than above address:
City: ______________________________ State: ________ Zip Code: ____________
Mail To: Dave Fromer Music
147 Elm Avenue
Mill Valley, CA 94941
Fax To: (415) 383-1068
Please know we respect your privacy and that we do not share any information with anyone for any reason.