Online Order Form - CD / Cassette
CHECK ACCOUNT TRANSACTION SECURITY
A# Records, and their stable of artists, has done everything in their power to ensure that your Checking Account details remain secure! In order to do this, your Order is processed by a non-transparent server routine, which separates and extracts the account number, rerouting it via an anonymous server, without any reference to your name or other order details, ie: number only, while the remainder of the information is sent via a separate route.
Ordering Details
Name:
Address:
City:
State:   Zip: 
 Phone - Day:
Phone - Eve: 
Fax:
Email:

 
Additional / Special Instructions:
 		 
Please send me the following:

Item:

CD at $12.99 (s&h included)
Cassette at $9.75 (s&h included)

Quantity:

Payment Details / Method
 Please complete either Credit Card Payment or Check Account Payment
Check Account Payment
Check Account Name:

Check Account Number:
 		Bankers:

Branch:

Branch Sort Code:
This information required if Check Account Payment selected

Please enter the next check number in your check book here (NOTE! Do not delete any of this information.):

Now write "VOID" over the check form, and keep it as your receipt.
Adjust your bank balance as you normally would. We will convert your faxed/emailed check into a bank draft and deposit it directly into our bank account. The draft will be returned to you along with your other checks with your monthly statements. As long as the name and address on your check are the same as on the order form and your telephone number is verifiable we will process your order immediately.

Design:Ikhaya
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