Cybejaz


SECURE SERVER ORDER FORM

There are 5 ways to order:

1. To Order by Phone: Call 973-994-1902Mon thru Fri, 10am to 5pm. (Please allow 7 to 10 business days for delivery USA only)
2. To Order by Fax: Print this page. Fill out all information, sign, and fax to: 570-839-0872. (Please allow 2-4 weeks for delivery for delivery USA only)
3. To Order by Mail: Print this page. Fill out all information, sign, and mail with check or money order payable to: Fame Management, PO Box 262, Livingston, NJ 07039 USA

4. Order via Secure Server: Fill out this form and press the submit button below.
(Money Order & Credit Card orders should arrive within 2-4 weeks. Personal Checks may take 10 to 14 days longer to process. )

To order please fill out the entire form. You can then submit on-line, or you can print the form and fax it or mail it to us.

Prices Subject To Change


your e-mail address:
first name:
last name:

street address:
city:
state:
zip code:
country:
phone number:
I am paying by:
account number:
expiration date:

Name as it appears on credit card:

Your Instrument:

How Did You hear about us?

_________________________________________________

Signature (required if mailing or faxing order)

Please send the following :

         

Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:
Cat# Title: Price:

SUBTOTAL

SHIPPING

TOTAL AMOUNT

SHIPPING CHARGES:

$6.50 for 1-3 items, $1.25 for each additional item.

Overseas: Billed by weight plus a $5.00 handling charge. U.S. Funds, U.S. Bank Only

Thank You For Your Order

Cyberjaz

PO Box 262   Livingston, NJ 07039 USA

973-994-1902

sales@cyberjaz.com


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webmaster@cyberjaz.com