Hennie Bekker Music Order Form Date: May 24, 2007 ----------------------------------------------- For U.S. and other International Destinations ----------------------------------------------- Please use this order form to - FAX your credit card order, or - Mail your order US$ Qty Item Price Ordered Total Tranquility Series ------ ------- -------- A Time For Romance . . . . $12.99 x ____ = ________ Awakenings . . . . . . . . $12.99 x ____ = ________ Christmas . . . . . . . . . $12.99 x ____ = ________ Classic Moods . . . . . . . $12.99 x ____ = ________ Essence of Romance . . . . $12.99 x ____ = ________ Reverie . . . . . . . . . . $12.99 x ____ = ________ Romantic Classics . . . . . $12.99 x ____ = ________ Transitions . . . . . . . . $12.99 x ____ = ________ Horizons Series The World In Stereo . . . . $12.99 x ____ = ________ Tapestries Series Kusasa . . . . . . . . . . $12.99 x ____ = ________ Relaxing Pachelbel . . . . $12.99 x ____ = ________ Sea Odyssey . . . . . . . . $12.99 x ____ = ________ Temba . . . . . . . . . . . $12.99 x ____ = ________ The Classics (Silk & Satin) $12.99 x ____ = ________ The Smoke That Thunders . . $12.99 x ____ = ________ Kaleidoscopes Series Spring Rain . . . . . . . . $12.99 x ____ = ________ Summer Breeze . . . . . . . $12.99 x ____ = ________ Other Series Classics By The Sea . . . . $12.99 x ____ = ________ Cool Classics . . . . . . . $12.99 x ____ = ________ Exotic Spa . . . . . . . . $14.99 x ____ = ________ Swing Gently . . . . . . . $12.99 x ____ = ________ Solitudes Series Algonquin Suite . . . . . . $13.99 x ____ = ________ Appalachian Mountain Suite $13.99 x ____ = ________ Atlantic Suite . . . . . . $13.99 x ____ = ________ Breaking Through The Mist . $13.99 x ____ = ________ Classics . . . . . . . . . $13.99 x ____ = ________ Classics II . . . . . . . . $13.99 x ____ = ________ Favourite Selections . . . $13.99 x ____ = ________ Favourite Selections II . . $13.99 x ____ = ________ Great Lakes Suite . . . . . $13.99 x ____ = ________ Harmony . . . . . . . . . . $13.99 x ____ = ________ Island Paradise . . . . . . $13.99 x ____ = ________ Jabula . . . . . . . . . . $13.99 x ____ = ________ Loon Echo Lake . . . . . . $13.99 x ____ = ________ Natural Stress Relief II . $13.99 x ____ = ________ Pacific Suite . . . . . . . $13.99 x ____ = ________ Rocky Mountain Suite . . . $13.99 x ____ = ________ Rolling Thunder . . . . . . $13.99 x ____ = ________ Sleep . . . . . . . . . . . $13.99 x ____ = ________ Southwest Suite . . . . . . $13.99 x ____ = ________ Spa . . . . . . . . . . . . $13.99 x ____ = ________ Strauss Waltzes . . . . . . $13.99 x ____ = ________ Total Number of CDs = ____ Total Value of Items = ________ $6.00 for the first and $0.50 for Each Additional CD Shipping Charges = ________ (see Shipping Charge example in Instructions below) (in U.S. Dollars) ORDER TOTAL = ________ ==== PLEASE TYPE OR PRINT NEATLY IN BLOCK CAPITALS ==== ===== METHOD OF PAYMENT ===== [ ] Check Enclosed **** Make payable to HENNIE BEKKER MUSIC INC. **** The check must be in U.S. dollars. Checks from other counties or in shared currencies, such as Euro Dollars, are impossible to process. [ ] Money Order Most U.S. dollar or International Postal money orders made out in U.S. dollars can be processed. [ ] Cash We always love to see cash... but beware... cash through the mail goes through too many hands to guarantee it will reach us. You are definately taking your chances with this option. [ ] Credit Card [ ] American Express [ ] MasterCard [ ] VISA Many special bank cards, especially those in Europe, are really VISA, MasterCard or American Express even though they may not indicate their affiliation on the card. Normally, if the first number on the card is 3, 4 or 5, we can process it. To pay by credit card, please provide the following: Credit card number ___________________________________________ Expiry date Month ______________Year __________________ Name as it appears ___________________________________________ on the card Signature of card holder authorizing charges for __________________________________ the ORDER TOTAL shown above We cannot accept fax or mail order requests without the signature of the card holder. Billing Address: ---------------- Name ____________________________________________________ Address ____________________________________________________ ____________________________________________________ City/town ____________________________________________________ State/Prov_________________________ZIP/Postal Code____________ Country ____________________________________________________ Daytime phone number _________________________________________ FAX number _________________________________________ E-Mail address _________________________________________ Get E-Mail updates: [ ] Yes Shipping Address: (if different from your billing address) ----------------- Name ____________________________________________________ Address ____________________________________________________ ____________________________________________________ City/town ____________________________________________________ State/Prov_________________________ZIP/Postal Code____________ Country ____________________________________________________ Daytime phone number _________________________________________ at ship to address ***** PRINT OUT THE FORM ***** Make Check or Money Order payable to: HENNIE BEKKER MUSIC INC. MAIL TO Hennie Bekker Music Inc. 105 Abbeywood Trail Don Mills ON M3B 3B6 Canada or Ellipsis 1623 Military Road PMB 203 Niagara Falls NY 14304-1745 USA FAX TO 1-416-391-2646 ** Credit Card Orders Only ** OTHER INSTRUCTIONS ...and Helpful Hints ================== If you have opened this Order Form in your favorite word processor, you may want to select all the text and then change the font to a monospaced typeface such as "Courier" so things will line up for you. For faxing, we suggest a font size of at least 12 points. You may want to type in the quantities, amounts and order information before printing the form. If you are writing your information, please use a pen and print in block capital letters. After selecting the titles you want to order, you may want to delete the lines for the titles not ordered, these instructions and other superfluous bits, which shortens the form a bit. You may also want to save the modified file under a different name. Print the completed order form. Sign it before mailing or faxing. Credit card orders cannot be processed without the card holder's signature. Shipping time will vary depending on your method of payment. The longest delays can be expected when mailing a check. It may take a week or two to reach us and another two weeks or more (10-15 business days - their estimate, not ours) to clear at the bank. That could mean about five weeks before your order can be shipped. So please, be patient. If you are concerned about the status of your order, please e-mail the order desk -- hbmusic@800line.com -- The order desk will act on reasonable requests but cannot provide day by day tracking of your order status. Shipping Charge Example ----------------------- If total Number of CDs is 5 then Shipping Charge = $8.00 which can be calculated as follows... For the first CD 1 CD x $6.00 = $6.00 For all other CDs + 4 CDs x $0.50 = $2.00 -- ------ Total CDs = 5 Charges = $8.00 Shipping is based on the total number of CDs to be shipped. More Notes ---------- Hennie Bekker's music is shipped worldwide. Each country has its own schedule of taxes and import duties and they may apply to your purchase. Such duties and taxes are not included in the purchase price and cannot be prepaid by us. If in doubt, check it out with your local authorities. If you are Canadian, this is the wrong order form. Please get the Canadian order form at: http://www.800line.com/altorder/hbmusica.txt Avoid the disappointment of an incomplete order. We try to keep prices as stable as possible, but as with all things retail, price and availability are subject to change. The order desk updates this form as needed. So if you downloaded it a while ago, you may want to download it again. The form is dated in the top right corner, so you can quickly see if there has been an update. Take a quick peek at: http://www.800line.com/altorder/hbmusic.txt To keep up-to-date with events and news at Hennie Bekker Music, add your name to our e-mail list. We don't mail daily, or weekly... seldom even monthly. It's only sent when there is something significant to pass on. You can let us know by checking [ ] YES on the order form under Billing Address. You can also keep up-to-date by occasionally checking back at our web site: http://www.henniebekker.com/ -------------------------------------------------------------------