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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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.