DanceMaster.com Product Order Form :
NOTICE: All Customers who do not have a valid credit card please fill out the order form completely and print it out. Address check or money order to:
GS MEDIA GROUP, LLC
19210 Dearborn St.
Northridge, CA 91324

Please include Email: An Email confirmation will be sent when your order is received.

Page is best viewed at 800 x 600

NOTICE: If you are using a Macintosh computer with OS 9 (or earlier) or an older browser you may have trouble using this shopping cart. Please use our secure order form to place an order. Sorry for any inconvenience.

NOTE: Items marked with * and in bold type are required to process your order.


First Name *
Last Name *
Address: *
City: *

State and Country: *
Zip: *
(as it appears on your billing statement)
Home Phone:*
Work Phone:
Fax Number:
EMAIL ADDRESS!: *
(needed for confirmation)

ALTERNATE
SHIPPING
If the shipping address is different from your billing address, then please fill out the following alternate shipping information.
Address:
City:
State and Country:
Zip:
(as it appears on your billing statement)
*Credit Card Information:
Credit Card Type:
(click on one)
MastercardVisaAm Ex
Discover
Credit Card # : *
Expiration Date:*
(MM/YYYY)
Total Charge:
(Total will equal the same as Total Purchase Amount below)
How did you find out about this site? (please mention search engine or site link)

*Product Order Information:

Item Name  Color & Size Quantity Price $
1:
2:
3:
4:
5:
6:
7:
8:
9:
10:
11:
12:
13:
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19:
20:

Total Purchase  

Amount 

S/H charge: Please add $3.50 for first item and .50 cents per each additional item for shipping and handling to total on all packages including Express 2nd Day or Global.

For Express 2nd Day delivery add $15.00 (US) to the S/H charge above. Please write 2nd day delivery as a seperate item name and add $15 to Price Total.

For all international orders add $28.00 (US) to the S/H charge above. Please write Global as a seperate item name and add $28 to the Price Total.
(All international shipping is done through Global International Priority so we can track and insure all orders. You will receive your order normally in 5 to 6 days), (2nd day express is not available on international shipments).

Do you want to be included on our mailing list for further information on new product:

Yes No

Following credit card approval please allow 1 to 4 weeks for delivery. You will be
e-mailed a confirmation. There are NO REFUNDS.