CLARFLUPET PRE-BAND PRIMERTM
(ORDER FORM)
(PLEASE PRINT)
NAME: ____________________________________________________________
SCHOOL / ORGANIZATION: __________________________________________
ADDRESS: _________________________________________________________
_________________________________________________________
CITY: ____________________________ STATE: ______ ZIP: _____________
PHONE: _______________ E-MAIL: ________________ FAX: ____________
PURCHASE ORDER #: _______________________________________________
QUANTITY TOTAL
THE CLARFLUPET PRE-BAND PRIMERTM (PROGRAM KIT) $1,600 ________ _________
(A $200 Savings over items purchased separately.)
Includes: 25 CLARFLUPETTM WIND EMBOUCHURE TRAINERS
25 REEDS
25 PAIRS OF 7A TRUELINETM POWER GRIP DRUMSTICKS
25 GUM RUBBER PRACTICE PADS
2 ACCESSORY BASKETS
1 CART TO HOUSE AND TRANSPORT MATERIALS
1 CLARFLUPETTM HANDBOOK / DVD
1 CLEANING SYSTEM
PURCHASED SEPARATELY
CLARFLUPETTM WIND EMBOUCHURE TRAINERS ________ _________
($45 each for 25+, $47 each for 11-24, $49 each for 1-10)
TRUELINETM POWER GRIP DRUMSTICKS ($7.50 / pair) ________ _________
PURE GUM RUBBER PRACTICE PADS ($5 each) ________ _________
PRICES GOOD THROUGH THE END OF JUNE, 2008
SHIPPING - ADD 10%: _________
SCHOOL TAX EXEMPT #: ____________________________ OR TAX _________
TOTAL _________
Please make checks payable to: Clarflupet, L.L.C.
Mail to: Clarflupet, L.L.C.
David Heintz, Manager
79 Lime Kiln Rd.
Pike, NH 03780
Phone / Fax: 603-989-5436 trptheintz@aol.com www.clarflupet.com