Order Form

Print form, fill out and mail or fax to address below

Click here to download a pdf of this form

(include color and size if applicable)

Item description Price Quantity Total
$
$
$
$
$
$
$
         
Subtotal: $
7% sales tax (MS only) $
Shipping: $
Total: $
     
Method of Payment:    
_______ Visa _______ MasterCard _______ Check enclosed
 
Card #: Exp. date:
 
Signature:
Phone number: ()
Please make checks payable to the USA International Ballet Competition.

Shipping Charges:
Up to $25 -- $5
$25.01-$50 -- $8
$50.01-$75 -- $12
Over $75 -- $25

Shipping Address:
________________________________________________________________________
(Name)
________________________________________________________________________
(Address)
________________________________________________________________________
(City, State, Zip)

Please mail this form to:
USA International Ballet Competition
Merchandise Orders
P.O. Box 3696
Jackson, MS 39207-3696

Or fax to:
601-355-5253

For more information, call us at 601-355-9853, or email us at usaibc@netdoor.com.