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Music Label 2002 8.02
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orderform.txt
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2002-07-05
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3KB
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115 lines
Music Label 2002 Order Form
Number of copies:
____ copies at $35.00 each = $ ______
Distribution (check one):
( )Download/Email at $0 each = $ ______
( )U.S. Postal at $5.95 each = $ ______
( )International at $7.95 each = $ ______
Your Name:
________________________________________________________________
E-Mail Address:
________________________________________________________________
Phone Number:
________________________________________________________________
Mailing Address
Street:
_____________________________________________________________
City:
_____________________________________________________________
State:
_____________________________________________________________
Zipcode:
_____________________________________________________________
Country:
_____________________________________________________________
Where did you hear about Music Label?
________________________________________________________________
THE FOLLOWING INFORMATION IS NEEDED FOR CREDIT CARD ORDERS ONLY:
For Credit Card Orders:
Type: ( )Visa, ( )Mastercard, ( )American Express,
( )Discover
Account Number:
_____________________________________________________________
Expiration Date:
_____________________________________________________________
Address credit card bill is sent to (if different than mailing address)
Street:
_____________________________________________________________
City:
_____________________________________________________________
State:
_____________________________________________________________
Zipcode:
_____________________________________________________________
Country:
_____________________________________________________________
I authorize Reg.Net(TM) Internet to bill my credit card and agree
to pay the total amount according to my card issuer agreement.
______________________________________________ _______________
Signature Date
For ONLINE Orders, point your browser to:
http://www.codeaero.com/order.htm
For POSTAL MAIL Orders, send to:
Reg.Net
675 Southpointe Ct Ste 250
Colorado Springs CO 80906
U.S.A.
For FAX Orders, send to:
World: 1 (719) 623-0399
For PHONE Order, call:
U.S. (toll-free): 1 (800) 999-2734
International: 1 (719) 576-0123
Contact Code|Aero at support@codeaero.com if you need techincal support.
Reg.Net can ONLY handle sales and related questions.