white_cdrom_ani2.gif (26580 bytes)  California Aircheck Individual  CD Order Form

Print the following form and either Fax it to (904) 548-9846 or Mail it to: 85478 Sagaponack Drive - Fernandina Beach FL 32034....You may pay for orders by check, money order, or credit card....
Be sure to fill out the address information below for all orders
 
Please List the CDs that you would like to order: (Please Print)
CURRENT ISSUE / Tape Numbers_________________________________@15.00 each $_________

PERSONALITY PLUS / Tape Numbers_____________________________@15.00 each $_________

SPECIAL ISSUE / Tape Numbers_________________________________@15.00 each $_________

CLASSIC ISSUE / Tape Numbers_________________________________@18.00 each $_________

ALL AC / Tape Numbers________________________________________@15.00 each $_________

ALL COUNTRY / Tape Numbers__________________________________@15.00 each $_________

ALL CHR / Tape Numbers_______________________________________@15.00 each $_________

ALL NEWS / Tape Numbers_____________________________________@15.00 each $_________

PROMO VAULT / Tape Numbers_________________________________@17.00 each $________

SWEEPER VAULT / Tape Numbers_______________________________ @17.00 each $________

Overseas Orders - Add $2.00 US Per Compact Disc for airmail shipping
 
TOTAL...................................................................................................................................................$_________
COMPLETE THIS ADDRESS INFORMATION FOR ALL ORDERS
Ship to------Name_____________________________________________________
Company________________________________________________________
                    Address_____________________________________________
City,State,Zip________________________________________________________
..........................................................................................................................................................................................

Credit Card Orders..[ ] Visa ...[ ] Mastercard .....

Name as it Appears on Card__________________________Sec. code from rear of card______
 
Card Number______________________________________Exp Date_______________
 
E-mail address__________________________________ Amount to be Charged_________
 
Signature__________________________________Phone number:___________________
 
Home Page All AC All CHR All Country
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If you have any questions, please contact us at georgej@californiaaircheck.com