Product Order Form

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Naylor’s Custom Wind Repair 6726 South Dahlia Court Centennial, CO 80122 303.761.4759• 877.761.4759 FAX 303.741.0129
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Order Form Please print order form and include with your order Prices subject to change without notice
Item	Quantity	Price	Extension
Naylor's Organic Bore Oil, 1 ounce bottle, instructions for use		$8.49
Naylor's Organic Bore Oil, one pint bottles		call
Organic Based Cork Grease		$3.25
Soprano Clarinet Oiling Rod, instructions		$23.95
Bass Clarinet Oiling Rod, instructions		$36.95
Oboe Oiling Rod, instructions		$25.95
Oboe/English horn Oiling Rod, instructions		$27.95
Selvyt Cloth, washable		$10.95
3M Anti-tarnish Strips, 10 per pack		$8.95
Sunshine Cloth		$4.95
Original Swab Co. Soprano Sax		$22.95
Original Swab Co. Alto Sax		$16.95
Original Swab Co. Tenor Sax		$17.95
Original Swab Co. Bass Clarinet		$10.95
	Subtotal
If shipping to a Colorado address	CO tax 2.9%
Postage and Handling in US only: $6.50 for up to 6 items E-mail us for postage on large or foreign orders	Regular Postage Additional Postage		$6.50
Make checks payable to Naylor’s Custom Wind Repair, checks in US funds only. Other payment options are available.	Grand Total

Payment Form
International Orders (incl. Canada) Payment only by International Money Order in $US
Money Order Amount:	US$
Please include this remittal advice and an international money order for the amount due.
U.S. Orders (incl. Alaska & Hawaii) Check or Credit Card in $US
Check:	US$
Please include this remittal advice and a check for the amount due.
Credit/Debit Card (MasterCard or VISA)	I accept VISA or MasterCard drawn on a U.S. bank or credit union. Please complete the following authorization, and FAX (303-741-0129) or mail (6726 South Dahlia Court Centennial, CO 80122) this stub to me.
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I authorize Naylor’s Custom Wind Repair to charge/debit my: [ ] MasterCard [ ] VISA for the amount indicated above. ____________________________________ Authorized Signature