Danman's Music Library - Order Form
Print this form - complete and fax or mail with Check or Money Order to:
Danman's Music Library, PO Box 54, Dana Point, CA. 92629, USA   Fax:  949.661.1865   Voice: 949.496-6556
Please make checks and money orders payable to Danman's Music Library

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 Title(s) purchased_____________________________________quantity______ OR

Check your Library enrollment type: 
 
 

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 )

Renewals are automatic unless notified. You may cancel your subscription at any time by phone, US mail or fax 949 661 1865
You will be notified via Email upon receipt of payment and your username/password will be activated.   Thank you!