Beginner Series - Order Form

10% discount if you buy 3 or more complete sets.

You may order these materials by filling in the following form and printing it, then mailing it along with your check to Messianic Dance International, 7935 136th Avenue SE, Newcastle, WA 98059.

MediaCostBeg. 1Beg. 2Beg. 3Inter-conn'sInter. 1Inter.2Inter. 3Adv. 1Adv. 2Adv. 3Total $
Book$8.00           
Audio Tape$8.00           
Audio CD$12.00           
Video Tape$25.00      N/A  N/A 
DVD$30.00      N/A  N/A 
Set A: Book/Audio CD/Video $4.00      N/A  N/A 
Set B: Book/Audio CD/DVD$50.00      N/A  N/A 
Shipping Address
Name
Address Phone
City State Zip
Country
Payment Information
Payment must accompany order. Sorry, our discount prices don’t permit billing or COD. We cannot accept payment by stamps. Overseas customers, your payment must be in U.S. funds from a U.S. bank. If you pay with a credit card, your bank will calculate the amount based on the current exchange rate for you.
Check/money order MasterCard VISA Discover Novus

Credit Card Number   Expiration Date (mm/yy)
Please be sure to include the digits in the metallic portion of your card.


Signature of Authorized Buyer: _______________________________________
Postage and Handling

Please add shipping and handling charges according to the rate table below. Canada and Mexico residents please double shipping; all other countries please triple shipping. (If you are using Internet Explorer it will do this for you). If you are using Microsoft Internet Explorer you might prefer our other order form which calculates all the totals for you. If you have any questions, please call the office at (425) 793-3004.

Subtotal up to $10 add $4.00$ 50.00 to $ 99.99 add $ 10.00SubTotal 
$10.00 to $19.99 add $5.00$100.00 to $199.99 add $16.00Postage * 
$20.00 to $29.99 add $6.00$200.00 to $299.99 add $20.00Total $ 
$ 30.00 to 49.99 add $8.00$300.00 and over add $28.00  

MDI is obligated by law to track and report the duplication of any video recordings, sound recordings and study guides to the entities who gave us permission to use them. These materials cannot be copied or duplicated by any means for any purpose. To receive your order, sign the statement below that acknowledges to us and to these entities your agreement to uphold the integrity of the copyright law that secures these materials.

I will not copy or duplicate the tapes or study guides produced by Messianic Dance International for any purpose.

Signed______________________________