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.