AGEHR: Music Club Form

We want you to be the first to see our newly published handbell music! For only $20* - including shipping (retail cost $85 + shipping), you will get 19 full size, new AGEHR pieces mailed directly to your door.

*$20 for AGEHR members in the United States; Canadian members please add $7USD and overseas members please add $12USD for additional postage.

One music packet per member. Packets will be sent in June, 2008. To order and pay by check - print form and mail with payment..

AGEHR Membership Number:
Name:
Organization Name: (if applicable)
Address:

City:
State:	Zip Code:
Email:

As we complete the transition to our new website, paying on-line with a credit card is currently not available. We hope to have this feature corrected soon and apologize for any inconvenience. Please call the AGEHR office at 1-800-878-5459 for assistance with your transaction. You may also print and fax this form to (937)438-0434.

To pay by Check: Print form and mail, along with your check for $20.00 (payable to AGEHR), to:

AGEHR, Inc.
1055 E. Centerville Station Rd.
Dayton, Ohio 45459

If you are also paying for membership dues, please include separate checks for each.

This offer is valid through May 16, 2008.

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