"Four Freshmen and Friends" CD Order Form

 
NOTE: This form is for credit card orders only (Visa or Mastercard).

If you wish to order by mail,

Each "Four Freshmen and Friends" CD is $15.00 plus $1.00 shipping.

Name:
Address:
City:
State or Province:
Country (if not US):
Zip/postal code:
Evening phone:
E-Mail:
IMPORTANT: List your full E-Mail Address ie: JohnPublic@AOL.com  

    Choose the number of CDs you wish by clicking the down-arrow below:

    The Four Freshmen Society accepts payment via Visa or MasterCard.

    Choose how you would you like to pay by clicking the down-arrow below:

        NOTE: If your order will be shipped outside of the US or Canada, an additional $5.00 will be added to your order!

        Please enter your card number, expiration date and CVV code below:

        Name on card:
        Card number: ---
        Expires (mm/yy):    /
        CVV code (What's this?):   

        Type the five-character code shown below into the "Enter Captcha code" box.
        Doing so protects this form from spammers!


        Enter Captcha code        		 Captcha Code
         

        Click the "SUBMIT" button below
        to submit this form.

        If you have any problems submitting your Order Form, click to email us about your problem.

        Note: If, after you press the "SUBMIT" button, you don't get a screen letting you know that your Order Form has been successfuly sent, fix the indicated errors and try again.