Char-Rock Records Order Form
Basic Instructions
Print out and mail completed order form if paying by check or money order.
Make checks payable to: Char-Rock Records.
Mail payments to:
Char-Rock Records
6800 Erinbrook Drive
Concord NC 28025-6970.
Secure credit card payments are processed by hitting the Secure Payment Processing button.
You must fill out the form completely. You must supply a valid address and phone number to process any and all orders.
We take Visa, Mastercard, Discover and American Express.
Note: We use your daytime phone number as your customer ID.
Name
PAYMENT METHOD
Address
Secure Credit Card Payment
Check or Money Order
City
ST
ZIP
Country
Daytime Phone
Evening Phone
Quantity
Item No.
Type
Desc.
Price
Total
Subtotal
Shipping
US $5
Canada $7
Other/Foreign $10
Total (U.S. $'s)
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