Mail / Fax Order Form

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Priority Mail & Fax Form
To See Our Complete Online Catalog of Products Visit www.MusicBizCenter.com

CUSTOMER INFORMATION - If paying by credit card enter your billing address below.
Name:
Address:
City:
State/Province:
Country:
Postal/Zip Code:
E-Mail Address:

Credit Card # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expiration Date __ __ / __ __

* Use a separate sheet of paper if you need your order shipped to an address different address.

Please Sign Here - I ________________________________________ Today's Date __ __ / __ __
Authorize Platinum Millennium to charge my card for the amount listed here

Please circle your card or payment type below

ITEM

QTY.:

AMOUNT:

QTY.:

AMOUNT:

QTY.:

AMOUNT:

QTY.:

AMOUNT:

If ordering our 101 Music Business Contracts please state your computer type : PC Mac

SHIPPING

Shipping Amount. Please include a flat $8.00 shipping cost for all physical orders and $13.00 for courses)
Do not include shipping for downloadable products:

TOTAL AMOUNT ENCLOSED:


To Mail Your Order In	To Fax Your Order In
Make your check or money order payable to: Platinum Millennium P.O. Box 644 Garner, North Carolina 27529 . USA	Complete this form, making sure to include all of your credit card information, sign it and Fax to: 1-203-286-1761