Supplier: Date:_____________________________
BlueStar Productions, Inc.
1041 Wappapello Lane
St. Louis, MO 63146 Your Company's Purchase Order Number:
Contact: Amy Camie
healingharp (at-using the symbol @) aol.com __________________
Company Placing Order:
Company:________________________________________________________________
Address:_________________________________________________________________
City/State/Zip:____________________________________________________________
Phone:_________________________________ Fax:_____________________________
e-mail:__________________________________ website:__________________________
(proof of cover will be sent to this email and/or faxed for approval prior to printing)
Contact Person:___________________________________________________________
Authorizing Signature:_______________________________________________________
Print name:________________________________ Date Signed:____________________
Ship To:
Company:__________________________________________________
Address:_________________________________________________________________
City/State/Zip:_____________________________________________________________
Phone/Fax:_______________________________________________________________
Order Description
Please check one:
_______New Love "awaken to yourself" rose cover
_______Gift of Music from Organization's Name with rose graphic
(clearly print name below)
_________________________________________________________________________
Number of CDs: ___________________
x Price Per CD: ___________________
= Sub Total: ____________________
+ Tax @ 6.925% : __________________ (subtotal x 6.925%)
Tax exempt organizations, please provide Tax ID number:
_______________________________________________
+ $100 set up fee for orders of 26-99 CDs with Personalized Covers
+ Ship/Handling: __________________ (number of CDs x $.12)
Shipping is $.12 per CD. You may supply a UPS or Federal Express Number
UPS___________________________________
Fed.Exp.:_______________________________
TOTAL DUE: __________________________
Please make check payable to: Blue Star Productions, Inc.
1/2 Due with Order: _______________________
Check #:______________ Date: _____________
Balance Due Upon Delivery: _________________
Check #:_____________Date:_______________
Please print, complete and sign this Invoice/Order Form
then return it to Blue Star Productions, Inc. with payment..
To pay by VISA, MASTERCARD or DISCOVER
complete form below:
Name on Card:_________________________________________
Street Address: ________________________________________
No P.O Box Numbers
City/State/Zip Code:_____________________________________
Credit Card Number: ____________________________________
Expiration Date: (MM/YY) ______________________
Total Amount: $_____________________
To Pay by credit card through PayPal:
* Figure Total Due
* Click "Buy Now" button and complete transaction leaving the Quantity as 1
* Fill in Total Due amount
For Questions, please email:
healingharp (at-using the symbol @) aol.com
or call: 314-603-4430
Thank you for sharing the music!
