Secure Order form for Educational Music Service

Your order and personal information will be securely transmitted to EMS and you will receive a confirming email message. You may order items published by any publisher or listed in any catalog. Information may be manually typed or copied and pasted from one of our PDF catalogs using the "Paragaph Text" tool on the Acrobat Reader toolbar ("T"). In general, "normal" delivery (cheapest) is within 3 weeks for domestically published titles and within 5 weeks for foreign items. Additional postage costs will often (but not always) apply for items needed sooner than those time frames.

IP Address

Catalog prices are not guaranteed. We will be happy to quote firm prices upon specific request. Due to publisher restrictions, once the order is placed it cannot be cancelled and music sent on definite order may not be returned. Please contact us within 1 hour if you need to make a change. Thank you.

Three different "Items" windows are provided in case you have items which need different delivery deadlines. If not, you may enter all items in Items Field #1 and specify delivery deadline by clicking on the calendar and choosing a date. Enter as many items as you wish into Items Field #1, including Composers, Titles, Publishers, Quantities for each component and Catalog Numbers where known. Items Field #1

ComposerTitlePubQtyCat#

By what date do you need to receive this music? (Click on the Calendar)

Shipping Cost Estimate Required? (If yes, we will await your confirmation before processing.)

Yes

Purchase Order or Reference # (if applicable)

Special Instructions

Items Field #2

ComposerTitlePubQtyCat#

By what date do you need to receive this music? (Click on the Calendar)

Shipping Cost Estimate Required? (If yes, we will await your confirmation before processing.)

Yes

Purchase Order or Reference # (if applicable)

Special Instructions

Items Field #3

ComposerTitlePubQtyCat#

By what date do you need to receive this music? (Click on the Calendar)

Shipping Cost Estimate Required? (If yes, we will await your confirmation before processing.)

Yes

Purchase Order or Reference # (if applicable)

Special Instructions

Billing Name and Official Address to which the card is registered:

Please prefill my general information next time I access this form:

Organization (if applicable)

EMS Account # (if known)

First Name

Last Name

Address 1

Address 2

City

States and Provinces

Zip

Country

Phone Number

Fax Number

Type of Account

	Charge the credit card listed below
	Charge our established institutional account
	Inform me how to establish an institutional account

Credit Card Information:

(SSL encrypted)

Cardholder First Name

Cardholder Last Name

Exp. Month / Year

(mm/yyyy)

Card Type

Card Number

Security Code

Shipping Information, If Different Than Billing:

Organization Name

First Name

Last Name

Address 1

Address 2

City

Provinces and States

Zip

Country

Phone Number At This Address

Special Shipping/Handling Instructions

May we send you notices of new items in your area of interest? Please check the appropriate boxes.

Would you like to direct your order to a specific salesperson? Choose here:

Is this order complete and ready for submission?

Yes

	Orchestral, Non-Pops
	Orchestral, Pops only
	Choral (Secular)
	Choral (Sacred)
	Opera
	Chamber Music
	Musicology/Library

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