Order the BERP--fax/mail order form

The Ultimate BERP Fax or Mail Order Form
Print and fill out this form and fax or mail it in.

FAX TO: 415-236-6429
OR
MAIL TO: THE BERP, P.O. Box 629, Fairfax, CA 94978, U.S.A.

Pay by check, purchase order or credit card (VISA or MasterCard).

Company/School/Org: ______________________________________

Name: ___________________________________________________

Title: ____________________________________________________

Address: _________________________________________________

_________________________________________________________

City: _____________________________ State: ________________

Zip code: __________________ Country: _____________________

Phone: ______________________ Email: _____________________

Credit card #: _______________________________ Exp:__________
(VISA or MasterCard only)

*** Special BERP Combination Offer - save 10% ***

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*** Special Jazz CD Combo Offers ***
(prices include tax/shipping)

1 BERP

__________ (specify instrument)

#1 - Jazz CD ($18.00 ea)

__________ (specify quantity)

1 Tape/CD

__________ (specify tape or CD)

#2 - Jazz CD + BERP ($32.95)

__________ (specify instrument)

Total including tax & shipping = $29.95

#3 - Jazz CD+BERP+Instructional
Tape/CD ($42.95)

__________ (specify instrument)
__________ (specify Tape/CD)

Fill in the number of BERPs you wish to order for each instrument:

____ BERP #1 for Horn

Total number of BERPs _________

____ BERP #2 for Cornet

Volume Pricing - 1 $19.95 X _________

____ BERP #3 for Trumpet

2-9 $17.95 X _________

____ BERP #4 for sm. or med. Trombone/Euphonium

10-49 $15.95 X _________

____ BERP #5 for large Trombone/Euphonium

50+ $13.95 X _________

____ BERP #6 for Tuba

BERP subtotal _________

"Brass Basics and the BERP"
instructional cassette or CD qty:
(* CD available in English & Spanish only)

Total number of berpbiooil bottles (2 oz.) Pricing = $7.49 X _________

_____ English Cassette

Total number of Cassettes/CDs _________

_____ English CD *

Volume Pricing - 1 $11.95 X _________

_____ Spanish CD*

2+ $9.60 X _________

_____ German Cassette

Cassette/CD subtotal _________

_____ Japanese Cassette

BERP + Cassette/CD subtotal _________

____ Norwegian Cassette

CA residents add 8.25% sales tax _________

Shipping & Handling (BERPs-1/$3, 2-9/$4, 10-49/$7, 50+/$10 • Tapes/CD-1/$4, 2+/$5) _________

back

TOTAL: _________

____ BERP #1 for Horn	Total number of BERPs _________
____ BERP #2 for Cornet	Volume Pricing - 1 $19.95 X _________
____ BERP #3 for Trumpet	2-9 $17.95 X _________
____ BERP #4 for sm. or med. Trombone/Euphonium	10-49 $15.95 X _________
____ BERP #5 for large Trombone/Euphonium	50+ $13.95 X _________
____ BERP #6 for Tuba	BERP subtotal _________
"Brass Basics and the BERP" instructional cassette or CD qty: (* CD available in English & Spanish only)	Total number of berpbiooil bottles (2 oz.) Pricing = $7.49 X _________
_____ English Cassette	Total number of Cassettes/CDs _________
_____ English CD *	Volume Pricing - 1 $11.95 X _________
_____ Spanish CD*	2+ $9.60 X _________
_____ German Cassette	Cassette/CD subtotal _________
_____ Japanese Cassette	BERP + Cassette/CD subtotal _________
____ Norwegian Cassette	CA residents add 8.25% sales tax _________
Shipping & Handling (BERPs-1/$3, 2-9/$4, 10-49/$7, 50+/$10 • Tapes/CD-1/$4, 2+/$5) _________
back	TOTAL: _________