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!