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You can also print out the PDF version of this form.


Discount Order Form
(Print and Fax or Mail to us)

The Perfect Pitch® Ear Training SuperCourse

check box YES! Prove to me that I have Perfect Pitch! I'll try out the Perfect Pitch® Ear Training SuperCourse -- with the full 40-Day Money Back Guarantee and 2 FREE Bonus CDs. Enclosed is $139 plus $6 shipping (I save $30 off the list price of $169). (For orders outside USA and Canada, shipping charge is $16.)

Send me:   check boxCDs    check boxCassette Tapes

_______________________________________________
NAME
_______________________________________________
ADDRESS
_______________________________________________
CITY
_______________________________________________
STATE                 ZIP
_______________________________________________
EMAIL ADDRESS (We will never give it out to anyone!)
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Instrument(s) you play (please include VOICE if applicable)

Would you please tell us how you found our web site?
(Magazine name and MONTH?)

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check boxCheck here if this order is a gift. Send gift to:

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NAME
_______________________________________________
ADDRESS
_______________________________________________
CITY
_______________________________________________
STATE                 ZIP

Gift message:

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Choose Payment Option:

check box My personal check or money order is enclosed, made payable to: PerfectPitch.com. (International money orders welcome in U.S. funds.)
check box Please charge my:

_______________________________________________
CARD NUMBER
_______________________________________________
EXPIRATION DATE       

If you prefer, you can choose a Perfect Pitch Easy Pay Plan:
(A credit card or debit card is required if you choose an Easy Pay Plan.)
(  )  10 monthly payments of $13.90 (+ $1.95/month service charge)
(  )  9 monthly payments of $15.44 (+ $1.95/month service charge)
(  )  8 monthly payments of $17.37 (+ $1.95/month service charge)
(  )  7 monthly payments of $19.85 (+ $1.95/month service charge)
(  )  6 monthly payments of $23.16 (+ $1.95/month service charge)
(  )  5 monthly payments of $27.80 (+ $1.95/month service charge)
(  )  4 monthly payments of $34.75 (+ $1.95/month service charge)
(  )  3 monthly payments of $46.33 (+ $1.95/month service charge)
(  )  2 monthly payments of $69.50 (+ $1.95/month service charge)

Mail to:
PerfectPitch.com
Music Resources Center, Dept. WS-3 (2 Free CDs)
1200 East Burlington Avenue
Fairfield, IA 52556 USA

Fax to: 1-641- 472-2700

Thank you for your order. We will rush ship your Perfect Pitch® Ear Training SuperCourse to you immediately.