Order Form for Credit Cards

You may print this form and send a check or money order to:
Walt LaForet, flutesonline.com, P.O. Box 166, Fountainville, PA 18923

Billing Name:	Required
Billing Address:	Required
Billing City:	State: Zip: Required
Phone with area code:	Required
Your Email:	Required
Leave ship to name & address blank if same as billing address.
Ship to Name:
Ship to Address:
Ship to City:	State: Zip:

List the items you want, order description, quantities, quoted items, etc. Up to 255 characters
Item Description: