Order Form
Please fax back to 4265970 or email back to jcf@admu.edu.ph .
Date: __________________________
First Name
Last Name
E-mail Address
Phone Number :
Home
Mobile
Office
Home Address
Sales Price Matrix:
Quantity Price per CD % discount
1-10 350 12.5%
11-100 325 18.75%
101-200 290 27.5%
201-300 265 33.75%
301-400 235 41.25%
401-500 200 50%
501 and above 168 58%
√ Yes, I will order _______________ copies of Hindi Kita Malilimutan, Bukas Palad Music
Ministry’s 20th Anniversary Album.
I will pay total amount of _______________________________________________________
Mode of Payment : □ Cash □ Check □ Credit Card □ Bank deposit
□ I will pick up my order during the launch concert on August 25, 2007, 7pm, Church of
the Gesu, Ateneo de Manila University
□ I will pick up my order on ______________________ at JesCom located at the Sonolux
Building, Ateneo de Manila University, Loyola Heights, Quezon City.
□ Please deliver my order to: (I will pay for delivery charges)