VENUS HARP ORDER FORM


DATE ____________________________

CUSTOMER NAME _____________________________________________________

STREET ADDRESS: ____________________________________________________

CITY: _________________________ STATE: _______ ZIP CODE: _______________


COUNTRY ____________________________

HOME PHONE: ______________________ WORK PHONE: ____________________

FAX: ____________________________ EMAIL: _____________________________


HARP INFORMATION

HARP MODEL: ____________________ FINISH: _____________________________

DECAL ON SOUNDBOARD: YES _______ NO _________

HARP SERIAL NUMBER (inventory, if known): __________________________

*BRONZING HIGHLIGHTS: ______________________________________________

_____________________________________________________________________

*ADDITIONAL REQUESTS: ______________________________________________

_____________________________________________________________________

AUTHORIZED TRADE-IN (include make, model, ID#, Finish, and agreed Trade-in Value)

_____________________________________________________________________

FINANCE PLAN (if chosen): ______________________________________________

(financing only available to clients/shipments within the continental USA)

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TOTAL PURCHASE PRICE DOES NOT INCLUDE SHIPPING CHARGES

* at an additional cost if not standard