Danman's Music Library - Mail/Fax Order Form
Print this form - complete and fax or mail with Check or Money Order to:
Danman's Music Library, 24699 Del Prado, Dana Point, CA. 92629, USA   Fax:  888.410-7837   Voice: 949.496-6556
Please make checks and money orders payable to DANMAN's

Please write clearly or type the following information.

First Name:     __________________________Last Name_____________________________

Email Address:________________________________________________________________

Street/Shipping Address:________________________________________________________

City:__________________________Zip Code: _________________Country_______________

Contact Phone:________________________________Instrument:______________________

CD / DVD Title(s) purchased_____________________________________quantity______ OR

Check your Music Library Sign-up Type: 

Your Instrument:  _________________________________________

Type 2 ___   Three Month $27.00   (Quarterly Enrollment - you save 10%)

Type 3 ___   One Year   $100.00   (Annually Enrollment - Best Buy - you save $20.00 ! )
 
Payment type -  Please check one:          
O Credit Card            O Check            O Money Order

Please check type of credit card used:      
O Visa            O Mastercard      O American Express

Name on card:   First_______________________    _____  Last_________________________________

Card number:     l    l    l    l    l    l    l    l    l    l    l    l    l    l    l    l    l

Card expiration date    Month    l    l    l Year l    l    l

Please choose your User Name      l    l    l    l    l    l    l    l    l (no more than 10 characters )

Please choose your Password       
l    l    l    l    l    l    l    l    l (no more than 10 characters )

You may cancel your subscription at any time by phone, US mail or fax 888-410-7837 or call 949 496 6556 during normal business hours
You will be notified via Email upon receipt of payment and your username/password will be activated.   Thank you!