S.A.I.F.A.M. - Customized CD Compilation Order/FAX Form

From:	____________________________________________________________
To:	THE SAIFAM GROUP srl
FAX:	**39-045-8680559
Date:	____________________________________________________________
Page(s):	__________

CUSTOMIZED CD COMPILATION ORDER FORM

*** this form is only for individual purchases ***
I choose the following:

**TOTAL AMOUNT**
Customized CD COMPILATION	OPTION 1 $ 40.00 (EURO) (shipping and handling 9 EURO worldwide) OPTION 2 $ 65.00 (EURO) (shipping and handling 9 EURO worldwide)

Please send order at the following address:

FIRST NAME:
LAST NAME:
STREET ADDRESS:
CITY
STATE/ZIP CODE:
COUNTRY:
FAX #:
HOME PH#:
WORK PH#
E-MAIL:

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PAYMENT BY CREDIT CARD ONLY! Please fill in the coupon:

VISA

EUROCARD

MASTERCARD

FIRST NAME:
LAST NAME:
DATE OF BIRTH:
CREDIT CARD NUMBER:
EXPIRATION DATE:
TOTAL AMOUNT EURO:

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day____________month________________year________________
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Any applicable custom and/or duty charges are the recipient responsibility.

Signature:

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Choose the titles to appear on your Customized CD Compilation
Pos.	Catalog No.	Artist/Group	Title	Version
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.

CHOOSE OPTION FOR THE SECOND OR MORE CDs THAT APPLIES TO YOU:

	OPTION 1: As second CD I order the CD Compilation/Album from your Catalog (see below)
	OPTION 2 - PART 1 : As second Customized CD Compilation I order the copy of the above CD
	OPTION 2 - PART 2 : I order second Customized CD Compilation with other titles (see below)

OPTION 1: As Second CD I choose following Compilation/Album from your catalog
	Catalog No.	Title

OPTION 2: Choose the titles to appear on your Second Customized CD Compilation
Pos.	Catalog No.	Artist/Group	Title	Version
01.
02.
03.
04.
05.
06.
07.
08.
09.
10.

OPTION 2 (continued): For remaining 2 CD Compilations/Albums I choose following titles from your catalog:
	Catalog No.	Title