D.L.P. Music and Repair Service

Welcome * Musical Instrument Repairs* Music Instruction * Midi * Used Musical Instruments For Sale * Musical Instrument Accessories * Musical Instrument Sales Spring Special! * Music Jewelry * Musical Novelty Stuff * Place Order

To Place Order

Send checks to:

D.L.P. Music and Repair Service
P.O. Box 51034
Livonia, MI 48151

For faster, secure service

PLEASE PRINT FORM

and FAX TO (734)425-5686 or

call (313) 408-0620

Please allow 2 weeks for shipping

Please email dave@DLPMUSICANDREPAIR.COM TO CHECK ITEM AVAILABILITY BEFORE FAXING AND FOR SHIPPING OPTIONS/PRICING

Charge To:
Visa, MC, Discover, Check, Money Order
Number:___________________________________________________
Expiration:_________________
Name on Card:______________________________________________ Signature:__________________________________
Card Billing Address:
(Shipping & Billing address MUST match)
_______________________________________________

_______________________________________________

Ship via: (You pay shipping)
US Mail *FedEx, UPS **, Other:_____________________________________________

Name:______________________________________________________________________


Address:_____________________________________________________________________


City:________________________________________________________________________


State/Province:_________________
Country:__________________ Zip/Postal Code:____________

Telephone:__________________________________________________


Email:______________________________________________________


Item Description:_____________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Price:______________ Michigan Residents Add 6% Total:____________________

Shipping and Insurance Charges as Applicable

* Mainly what we use/ship (cheapest) ** Must provide UPS Account For USPS shipping (your expense): Would you like Delivery Confirmation? ____ Would you like Insurance? _____.

Welcome* * Music Instruction * MIDI * Musical Instrument For Sale * Musical Instrument Accessories * Musical Novelty Stuff * Place Order * Musical Instrument Sales Christmas Special! * Music Jewelry

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