Music2Win

CUSTOM MUSIC ORDER FORM

Please complete the order form below, print and mail to Alexander Goldstein, Music2Win, 1522 Whispering Oaks Cir., Naples, FL 34110 or fax to 1-206-203-2533.

First Name:

Last Name:

Club Affiliation & Location:
(if applicable)

My Coach's Name:

My Coach's Telephone:

I am a Coach:

My E-Mail:

My Street Address:

My City:

State/Province:

ZIP/Postal Code:

Country:

My Daytime Phone
(area code + number)

My Evening Phone
(area code + number)

I Enclose Sources:

Compact Disk(s)

OTHER

All Originals Will Be Returned To You With Your Completed Order

PROGRAM LENGTH

min. sec. +/- sec.

or up to min. sec.

ATTENTION

Please check box if you want us to choose the timing selections for your program

Source Album/Title	Album Format	Track #	Start Time	End Time	Comments

Label Instructions:

Item (price includes copy on 2 CDs)	Price Per Item	Order Amount
One program up to 2:15 min in length	$ 92.00
One program over 2:15 min in length	$122.00
Program over 3:20 min in length	$142.00
Re-editing of the Previously Edited Program	$ 60.00
Additional CD	$ 15.00
Subtotal
S&H In USA via Priority Mail	$ 8.50
S&H In USA via Overnight Mail	$25.00
S&H International via Global Priority Mail	$30.00
Total

VISA	Master Card	American Express
Credit Card Holder's Name
Card #
Expiration date


Credit Card Holder's Signature (Cannot ship without card holder's signature)

Please fill-in the shipping information, if different from above:
Name
C/O
Address:
City:
State/Province:
ZIP/Postal Code:
Country:

Music2Win.com makes no real or implied claims to any copyrighted material, except music represented by this website. All original content material is the property of the respective copyright holders. Original content material includes, but is not limited to, music and/or arrangements and/or lyrics, CDs and MP3 files. Monetary compensation received by Music2Win.com for services herein is in payment for digital audio editing and sound effects processing services, creative services, time, materials and other expenses. Monetary compensation for services herein is not for the sale, resale, barter or trade of original content material.