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The Perfect Pitch®
Ear Training SuperCourse

Save $30 Discount Order Form
(Print and Fax or Mail to Us)

YES! I want to experience my own Perfect Pitch! I'll try out the Perfect Pitch® Ear Training SuperCourse
with the full 40-Day Money Back Guarantee and also receive 2 FREE Bonus CDs.

Send me:   check boxCDs    check boxCassette Tapes

Ship To:

NAME: ________________________________________________________________________

ADDRESS: ____________________________________________________________________

CITY: _______________________ STATE: _________ ZIP CODE/Postal Code: ______________

COUNTRY: ________________________ PHONE NUMBER: (_____)______________________

EMAIL ADDRESS: (We will never give it out to anyone)___________________________________

Instrument(s) you play: (please include VOICE if applicable)_______________________________

Would you please tell us how you found our web site?

(Magazine name and MONTH?)_____________________________________________________

check box  Check here if this order is a gift

Gift message:____________________________________________________________________

     check boxNo gift wrap           check boxGift wrap and card handwritten in  check boxwoman's  check boxman's handwriting -- add $8.50

Bill To:

check box  Check here if same as shipping address above

NAME: ________________________________________________________________________

ADDRESS: ____________________________________________________________________

CITY: _______________________ STATE: _________ ZIP CODE/Postal Code: ______________

COUNTRY: ________________________ PHONE NUMBER: (_____)______________________


Shipping Options (orders received by 3 pm Central Time shipped same day):

To USA:
check box  $10 via Priority Mail - About 4-8 days
check box  $20 UPS 2nd Day - 1-2 days
check box  $30 UPS Next Day Air - next business day
check box  $40 UPS 1-Day Saturday Delivery (sent on Friday)

To Canada/Mexico:
check box  $12.00 Global Priority Mail - About 2-3 weeks
check box  $30.00 Global Express Mail - 4-8 days

To All Other Countries:
check box  $20.00 Global Priority Mail - About 2-3 weeks
check box  $35.00 Global Express Mail - 4-8 days


Choose Payment Option:

check box  Check/Money Order: My personal check or money order is enclosed for $139 plus shipping,
made payable to: PerfectPitch.com. (International money orders welcome in U.S. funds. Iowa residents add 6% tax.)
 
         Total enclosed: $______________

check box  Credit Card/Debit Card. Please charge my: Visa/MasterCard

     CARD NUMBER: ______________________________________EXP DATE: _________     

For credit card purchases, please choose on of the following Easy Pay Plan:
 check box*10 monthly payments of $13.90 (+ $1.95/month service charge)
 check box*9 monthly payments of $15.44 (+ $1.95/month service charge)
 check box*8 monthly payments of $17.37 (+ $1.95/month service charge)
 check box*7 monthly payments of $19.85 (+ $1.95/month service charge)
 check box*6 monthly payments of $23.16 (+ $1.95/month service charge)
 check box*5 monthly payments of $27.80 (+ $1.95/month service charge)
 check box*4 monthly payments of $34.75 (+ $1.95/month service charge)
 check box*3 monthly payments of $46.33 (+ $1.95/month service charge)
 check box*2 monthly payments of $69.50 (+ $1.95/month service charge)
 check box1 payment of $139 (no service charge)

  *A credit card or debit card is required if you wish to pay in 2 or more installments.

Mail to: PerfectPitch.com, 1200 East Burlington Avenue, Fairfield, IA 52556 USA

Fax to: 1-641- 472-2700

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