CD Transfer Order Form
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Print this form, fill it out clearly, sign it and send it with your order to: Discount Duplication, 240 Oxmoor Circle, Suite 102, Birmingham, AL 35209 |
| Name
______________________________________
Address ______________________________________ City ______________________________________ State _________________ Zip ________________ |
Phone ( )_________________________
E-Mail ________________________________ |
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If Paying by Credit Card, Circle Credit Card Type |
American Express Discover Mastercard Visa |
| Account#____________________________ | Exp. Date________ | CVV Code________ | Signature______________________ |
Please Fill Out One Order Form For Each Disc to Be Transferred
Tape Format_________________ Length of Audio ________ Black Thermal Label________ #Of Extra Copies ($2.99 ea) ________
Audio Cassette 60 Min $9.99 | Micro Cassette $14.99 | LP 33 1/3 or 78 RPM $19.99 | 45 RPM $9.99
Please read and sign. I authorize the above stated work to be performed. I understand that I am responsible for any royalties which may be due, for obtainingpermission to duplicate any copyrighted materials, and for the total content of the finished duplication. I do not hold Discount Duplication, Inc. liable for anything that should happen to property left due to mechanical, technical, fire, flood, or natural disaster. If paying by credit card, I authorize the charges for this service including shipping and handling to be charged to my card.
Authorized Signature________________________________ Date_____________
Follow this link if you would like a Shipping Label for your Package