Jazz Inspiration Electronic Order Form

To order CD's, fill out the following form then click the SUBMIT button to send the order. The order is sent via Internet E-mail, directly to Jazz Inspiration.

If you would prefer to order by phone, contact 514-487-3980. Or, if you would prefer to order by fax, print this form, fill in the information by hand and fax it to 514-487-6628.

Prices are as follows:

Canada: $16.99 CDN each plus $2.00 shipping and handling.

United States: $12.99 USD each plus $3.00 shipping and handling per CD.

All others: $22.99 CDN plus $4.00 shipping and handling per CD.

Name

Phone number

Fax number

E-mail address

What is your shipping address?

Address

Suite

City

State/province

Country

ZIP/Postal code

How will you be paying for this?

Cheque or money order payable to Jazz Inspiration Records will be mailed to the following address:
Jazz Inspiration Records
5510 Robinson Ave #206
Cote St.
Luc, Quebec, Canada
H4V 2P5


Which CD's would you like to order? Which CD's would you like to order?
For detailed information, click here.
Trio Francois Bourassa "Echo"
Brian Dickson "Brian Dickson"
Brian Dickson "Live at the Senator"
Michael Farquharson "Michael Farquharson"
Michael Farquharson "The Arrival"
5after4 "Notorious"
5after4 "Public Solitude"
Jean-Francois Groulx "Groove"
John Labelle "If you see her ..."
John Labelle "Don't Say No"
Lorne Lofsky "Lorne Lofsky"
Lorne Lofsky "Bill, Please"
Greg Lowe "Greg Lowe"
Greg Lowe "Thrilled against My Will"
John Nugent "John Nugent"
Trisha Pope "Monkey"
Stan Samole "Stan Samole"
Stan Samole "Childish Dreams"
Stan Samole "Gliding"
Lenny Solomon "The Gershwin Sessions"
Lenny Solomon "After You've Gone"
Brian Tarquin "Ghost Dance"
Dawn Thomson "The Best Things In Life"
Jazz Inspiration "Volume I"
Mat Marucci "Ulterior Motif"

Other (specify) :

If you purchase music videos, which format is it?
VHS
Laserdisc
DVD
Other (specify):

Which record stores or chains do you frequent most? 



  
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What are your favourite magazines?




  
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What are your three favourite radio stations?




  
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Do you ever purchase music merchandise through mail-order catalogues?

 
  
Yes
 No



Would you like to receive a JAZZ INSPIRATION Records catalogue?

 
  
Yes
 No



Any further comments would be greatly appreciated:




















        
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