Singin’ Dog Double Reed Supplies
P.O. Box 17286  Sugar Land, TX 77496-7286

Name (Ship To): _________________________________________________________________

Mailing Address: _________________________________________________________________

City: _________________________________________ State: ______ Zip: __________________

Phone Number: ___________________________ Email: _________________________________

Please allow 3 weeks for delivery. Orders will be shipped within one week if possible. To ensure accuracy when ordering, please use the Item Code.

Method of Payment:

 ____ Check/Money Order       _____ Visa     _____ Mastercard     _____ AmEx    _____ Discover
     (U.S. dollars ONLY)

Include Credit Card Number and Expiration Date

MM./YY.

 

3 Digit Card Security Code (4 Digit for AmEx)

Print Name: _________________________________________________________________
(as it appears on credit card)

SIGNATURE: ______________________________________________________________