====================================================================== = CDAccess.com Order Form = ====================================================================== Name: _______________________________________________________ Address: _______________________________________________________ _______________________________________________________ City: _______________________________ State: ____________ Country: _______________________________ Zip Code: ____________ Phone # (Required): __________________ FAX: ___________________ Email Address: _________________________________________________ I would like to purchase the following items from CDAccess.com: ITEM QUANTITY PRICE 1. _________________________________________ _________ ________ 2. _________________________________________ _________ ________ 3. _________________________________________ _________ ________ 4. _________________________________________ _________ ________ 5. _________________________________________ _________ ________ 6. _________________________________________ _________ ________ 7. _________________________________________ _________ ________ [add more lines if necessary] SUB-TOTAL ________ Tax (6% for Tennessee Residents only) ________ Shipping (Per Order - SEE BELOW) ________ ====================================================================== DOMESTIC ORDERS ONLY (Within the US) FLAT RATE $5.95 PER ORDER within the Continental US by 2nd Day Air. Alaska/Hawaii/APO/US Territory Insured Priority Mail FLAT RATE $9.95. *FLAT RATE means that we only charge shipping on your first item. *Anything else purchased at the same time is FREE of shipping charges ====================================================================== INTERNATIONAL ORDERS ONLY: SMALL packages with a total value of $30 or less FLAT RATE $9.95 (Canada $5.95) by Insured US Airmail or DHL Worldwide Mail. Large retail boxes can not be sent this way - we MIGHT be able to use airmail if we can DISCARD the outer box. Anything LARGE =OR= valued over $30 MUST be sent by DHL or Federal Express International Courier Courier delivery is somewhat costly if you only want a single item; for larger orders the cost per item is much more reasonable. Press the SHIPPING button on our web site for detailed cost information. Delivery time is typically 1-3 working days for courier delivery. International Courier ___ (DHL or Federal Express) Overseas Airmail ___ ($30 Maximum; No Large Retail "*" Boxes) Check Here if you want us to send only what is inside the box ___ ====================================================================== FINAL TOTAL ________ Payment by (check one): VISA ___ M/C ___ DISC ___ AMEX ___ or Prepaid Check___ M/O ___ TT ___ Card Number (see below): ________________________________ Expiration Date: __________ <---- IMPORTANT! Name on the Card: ________________________________ Note: We only need credit card information on your first order or if the card number or expiration date has changed. Sending credit card numbers by Email is NOT a good idea. Please send it via our Secure Online Ordering system, call us on the telephone or send it via FAX. All prices are in US Dollars and must be paid in advance of shipping. Please ask before sending any checks or money orders unless they are in US dollars and are drawn on a US bank. Wire Transfers (TT) must be for the full amount of the purchase; you must pay any TT fees. ------------------------------------------------------------------------ CD-ROM Access VOICE: (615) 595-0950 6870 Comstock Road FAX: (615) 595-1599 College Grove, TN 37046-9203 ORDERS: (800) 959-5260 Web Site: http://www.cdaccess.com Mon-Fri 9-6, Sat 9-2 CST Over 4000 NEW CD-ROM titles in stock! Email: sales@cdaccess.com ------------------------------------------------------------------------