PulseWave Percussion

Instructions — Please print this form and send it with your check or money order payable to Kim Atkinson to:

PulseWave Percussion
P.O. Box 703, Sebastopol, CA 95473

Name:
Address:
Phone:
Fax:
Email:
We respect your privacy and will
not sell or trade your information.

I would like to order the following products:

Instructional

( ) DVD — Mozambique Vol. 1 ($30) Quantity:

( ) CD — Clave Consciousness Vol.1 ($20)
Quantity:

( ) CD — Clave Consciousness Vol.2 ($20)
Quantity:

( ) CD — SoR Vol 1 Afoxe' ($20)
Quantity:

( ) CD — SoR Vol 2 Bembe ($20)
Quantity:

( ) CD — SoR Vol 3 Djesse Muloumbo ($20)
Quantity:

( ) CD — SoR Vol 4 Yan Valu ($20)
Quantity:

( ) CD — SoR Vol 5 Highlife ($20)
Quantity:

( ) CD — SoR Vol 6 Makuta ($20)
Quantity:

Entertainment

( ) CD — ToKenKi — "Dance Latitude" ($15)
Quantity:

( ) CD — "Carnaval Spirit Bateria" ($15)
Quantity:

NOTE: Videos are available in US format only.

Shipping Cost:
Within the US — $4.00 for the first Item and .50 for each additional item.
Outside of the US — Please email me for shipping price to your area. Prices start at $10.00

Total # of Items Ordered:

NOTE: CA residents add 9% tax on all items.

Total Cost of Items:
Total Shipping:
Tax (CA residents only):
TOTAL BILL:

All checks payable in US funds to: Kim Atkinson

( ) Please notify me by email (or snail mail) about PulseWave Percussion
product releases and upcoming events with Kim Atkinson.

Thank you for your order!