Secure Order Form

This is a non-secure order form. The information submitted will not be encrypted for transmission. We do acknowledge that a great fuss has been made over Internet security lately. However, practically speaking, you are more at risk giving credit card information over the phone, or allowing restaurants or other businesses to keep copies of your credit card receipts, than transmitting your data using this form. Legally, we are required to state that Songscape cannot be held responsible for any misuse of data submitted using this form.

Note: Shipping charge is $2.50 within continental U.S. Outside continental U.S. shipping prices will vary.

	               Items Ordered                Qty      Price       Total
	1    $  $
	2    $  $
	3    $  $
	4    $  $
	5    $  $
	4    $  $

	Total of order       $
	Shipping             $

	Grand total          $


	Name:	

	Billing address:

	Street: 
	City:	 State:  Zip:  Country: 

	Mailing address (if different):
      
	Street: 
	City:	 State:  Zip:  Country: 

	Phone: 	
	Fax: 	

	E-mail:	

	Payment method:

	Name on card: 

	Number:	 
	Expires:

Allow two weeks for delivery. Shipping prices and delivery times may vary when shipping to cities outside the continental US.