Print this form - complete & fax or mail with payment to:  
Dan Lefler   -   PO box 54, Dana Point, CA. 92629, USA
Order by Fax:  949.661.1865 Order by Phone:  949.661.5746
Make payment to Danman's Music Co.

Please write clearly or type the following information.

Payment type -  Please circle one:        Credit Card            Check            Money Order

Your First Name:_________________________________________________________

Your Last Name:_________________________________________________________

Your Email Address:______________________________________________________

Your Shipping Address:  (if applicable)

Street Address:_________________________________________________________

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Zip Code:______________________Country_________________Phone____________

Please describe what you are buying, the quantity, and the price as shown on the web page.
Dan Lefler CD's are $15.00 per CD plus $2.50 for shipping.  Total price per CD = $17.50

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Payment information:

Please circle type of payment used:        Visa            Mastercard          Check          Money Order

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30 day money back guarantee. Renewals are automatic unless notified. Please allow up to 4 weeks to receive your product.
Please add shipping costs of $2.50 for CD,  You will be notified via Email upon receipt of payment and product shipped.

Thank you...  Dan Lefler