Name______________________________________________________

Address____________________________________________________

        ____________________________________________________

City ST___________________________________ Country (if not US) ____________________

Zip or Postal Code_______________________

Day Phone________________________  Evening Phone _________________________________

E-mail _________________________________________________

_Qty_____Description__________________________________Price______________Total______                                                
|      |B Model Autoharp Strings                     |  Not Available  |            |                                      
|______|_____________________________________________|_________________|____________|
|      |A Model Autoharp Strings                     |  Not Available  |            |                                        
|______|_____________________________________________|_________________|____________|
|      |Hammer Dulcimer Strings                      | $0.10 per foot  |            |                                        
|______|_____________________________________________|_________________|____________|
|      |Mark # of feet for each gauge.               |                 |            |                                        
|______|_____________________________________________|_________________|____________|
|      |Gauge___4___6___7___8___9___10               |                 |            |                                        
|______|_____________________________________________|_________________|____________|
|      |Loop end strings                             | $0.25 per loop  |            |                 
|______|_____________________________________________|_________________|____________|                                                       
                                                                       |            |
Shipping on strings is $5 for the 1st set                     Sub total|____________|
                                                                       |            |
     and $1 each for each additional set            Colo res add 3% Tax|____________|
                                                                       |            |             
                                                              Shipping |____________|
 Strings may take up to six weeks for delivery                                                                      |            |
                                                            Grand Total|____________|
  

Method of payment:___Check or money order ____ Credit Card (MasterCard, Visa, Discover)

Card # |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| Exp |__|__/__|__|

Name as it appears on card, if different from above_____________________________