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If you prefer to pay by mail, please print, complete and mail this order form to the address 
below.  Please allow 3-4 weeks for orders paid by personal check  since orders are shipped 
after checks have cleared.  For faster delivery, you may make your payment by credit card 
(either online or by using this form), cashier's check or money order.  Checks should be 
payable to Tiny Fingers and mailed to:
  
Eileen Ladino, 205 Yoakum Parkway  #1803, Alexandria, VA  22304

Name:   ____________________________________________________________________
Billing Address:  ___________________________________________________________________
Email Address: _______________________________________________________________
Phone: __________________
How did you hear about Tiny Fingers?_____________________

Please indicate if shipping address should be different than above.

For credit card payment:

Name on Credit Card: __________________________________________________________
Credit Card Type:  _______________Number: ______________________________________
Expiration Date: ___________________________   CVV2 (card verification code):  __________

Item Number ordered Cost per item S&H  SUBTOTALS
Tiny Fingers Teaching Kit ________ $169 FREE __________
Cue Card Book      ________ $25  $5.00 __________

VA Residents must add sales tax (5.0%)

__________
Please email classes@tinyfingers.com  for postage rates on shipments to be sent outside the U.S.    _________

TOTAL DUE

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