Postal Mail Order Form

 

To send your order via postal mail, print and mail the completed form to:

 

Mystik Media

296 Captain Beam Blvd

Hampstead, NC 28443

 

 

Product and Purchase Information: 

 

Merchant Name: Mystik Media

Description: AudioCommander

Purchase Amount: $64.95

Product ID: ______________________ (Found in bottom left corner of the Purchase window)

 

 

Billing Address Information:

 

Name:________________________________________________________________

 

Street (Line 1): ________________________________________________________

 

Street (Line 2): ________________________________________________________

 

City: _________________________________________________________________

 

State / Province: _______________________________________________________

 

ZIP / Post Code: ________________________________________________________

 

Country: _______________________________________________________________

 

Phone: _________________________________________________________________

 

E-mail: _________________________________________________________________

 

 

Payment Type

 

Select your type of Payment:

 

___Personal or business check. It usually takes 2 to 5 business days after receipt of the check for the bank to process the check. Once the check has been processed, the registration code is e-mailed to you within 48 hours. (Attention: There is a $25.00 charge for all returned checks.)

 

___Cashier’s Check or Money Order

 

___Credit Card (Please ensure the address above matches the credit card’s business address. 

 

 

Credit Card Information

 

If paying with a credit card please supply the following information:

 

Card Type: ____________________________________________________________

 

Card Number: __________________________________________________________

 

Expiration Date: ________________________________________________________

 

Signature: _____________________________________________________________

 

 

Thank You For Your Order!