Order Form:  

Fill in this form and print. 

Mail with payment to: JP Gomez Po. Box 2653 Sedona, AZ 86339

First Name
Last Name
Address
City
  State Zip Country
e-mail      Date of Order  

Phone

Flute description (include key,wood, Flute style, block design etc..)

 QTY Price TOTAL
Other ithem QTY Price
Sub-total

Shipping and Handling charges:

Item Price
For Flute Add $12.00 For Shipping/Handling
Tax-(9.7%)
Only AZ residents

Shipping

TOTAL


 Checks or money orders only
Chk#