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ORDER BLANK

READ BEFORE ORDERING
To place an order, please fill out the following form, print it, and fax it to us at (979) 743-4765. You may also place an order via phone, mail, or e-mail as indicated on the contact page. If you are purchasing performance rights, please indicate your approximate performance dates. For prices on UPS 2-Day or Next-Day Air shipping, contact us at (979) 743-3232. Thank you for your business.
To help us process your order to the best of our abilities, please fill out the form as complete as possible. Email addresses and phone numbers should be listed so we can contact you in case we have a problem with your order. Not completing the form may result in a slower shipment.

 

Shipping Address

Person Ordering:

School or Theatre:
(if applicable)

Address:

Address 2:

City:

State:

Postal Code:

Country:

Email Address:

Phone Number:

 

 

Billing Address (if different from shipping)

Attention:

School or Theatre:
(if applicable)

Address:

Address 2:

City:

State:

Postal Code:

Country:

 

 

Method of Payment

We are only able to bill schools, theaters, and their affiliated staff. For all others, payment is due prior to the shipment of materials (credit card or personal check for mail orders).

Card No.: 

 

Expires: 

 

Name on Card: 

 

 

 

PO# (if required): 

 

Personal Check Enclosed
(mail orders only)

 

 

 

Click here to view example.

Quantity

Materials (Scripts, Scores, Tapes, etc.)

Price
 

 

Total Price of Materials

# of Perfs.

Royalty

Approximate Perf. Dates

Price

   

Total Price of Royalty
   

Shipping Charges

 

  

Total Price

 

Texas residents not affiliated with a school or theatre are subject to additional sales tax. For inquiries regarding shipping rates or other problems please call (979) 743-3232. Royalty is due on all performances of I. E. Clark plays.