Order form for dulcimers and accessories

Name:___________________________________________________

Street Address:____________________________________________

City:_____________________________  State and Zip:_________________________

Phone:__________________  Email:__________________

Select shape, number of strings, kind of wood in body and top, and options. A $20 deposit gets you on the list. I will confirm the order and give you a better estimate of time of delivery.

QuantityDescriptionPrice
   
   
   
   
   
   
 Va. deliveries add 5% sales tax: 
 Shipping and handling* 
 Total: 

*Shipping and handling charges:

Order Subtotal:...............add

Under $20.................$6
$20-$50...................$10
$50.01-$100...............$14
$100.01-$200.............$16
Over $200..................$25

Mail to:

 

703-941-1071
keith@appalachiandulcimers.com

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