To order from Adirondack Guitar
1) Print Form
2) Fill it out
3) Fax to 518 746 9002 or mail to: ADIRONDACK GUITAR

3 LAFAYETTE STREET

HUDSON FALLS, NY 12839 USA -----Write ORDER on the envelope
4) Return Policy

NAME____________________________

AREA CODE________PHONE_______________FAX___________________

BILLING ADDRESS__________________________________________________________
________________________________________________

SHIPPING ADDRESS_________________________________________________________
________________________________________________

*If outside the U.S. we need theTelephone Number of the Issueing Bank of Your Credit Card (We must be able to confirm your address thru them).

*Credit Card Phone Number_______________________________________________

EMAIL ADDRESS________________________________________
COMMENTS: _______________________________________________________________
______________________________________________

I,_____________________hereby authorize Adirondack Guitar to bill my _____________________
(credit card type)
card #_________________________________Expiration Date _____________CV2 Number*________
(credit card number) (exp. date) CV2 number - 4 digit code on Am-Ex card above the account number, 3 Digit code to the right of the signature box on VISA and MC
For the following Product(s)

I wish to order:
Product and model_________________
Color ___________

Signed,

________________________
(Cardholder's Signature)

Adirondack Guitar, 250 Main Street, Hudson Fall, NY 12839 USA