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ORDER FORM If you live outside India (but not in the USA) and and want Music Today titles delivered outside India, this is the correct order form. Please use the print option on your browser to print this order form.You can also fax the completed form to Music Today at 011-3712998 in India, in case of payment by credit card.
Living Media India Limited Date____________ Please arrange to send me the following Audio Tapes/ Compact Discs:
My particulars (In Capital letters) Name ____________________________________________________________Address_________________________________________________________ Country_________________________________ Tel number_____________________ My email_________________________________________________________ a)Cheque/ Draft no ______________________________________________________ drawn on _____________________________________________ (Name of Bank) for US$ ____________________________________ in Favour of Living Media India Ltd. OR b)Please charge my Credit Card ˜ Mastercard ˜ Visa ˜ American ExpressCredit Card no :˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ ˜ Card Members name ___________________________________________________________ Card member's signature_______________________________________ Card expiry date ______________________________________________ Please deliver the cassettes and /or CDs ordered by me to: Name _____________________________________________ Address____________________________________________ Country, PIN/ZIP _____________________________________ Tel number_________________________ |
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