Print this form and fill out all applicable fields below. (Make Check or Money Order payable to Les Brown) Mail to: Les Brown ATTN:Drum School PO BOX 2263 Quincy MA 02269 USA Product: DRUM SCHOOL VIDEO I Product Price: $19.99 Each Shipping: ADD for each/ USA +4.00 /Canada +5.00 / Int'l +6.50 Name _____________________________________________________ Address _____________________________________________________ _____________________________________________________ City _____________________________________________________ State _____________________________________________________ ZipCode _____________________________________________________ Country _____________________________________________________ Email _____________________________________________________ Total Qty: _______________ Total Shipping: _______________ Total Enclosed: _______________ *Make sure to add shipping charge or order will not be sent.