One Off Order Form

CD Solutions, Inc.
100 W. Monument St.
P. O. Box 536
Pleasant Hill, Ohio 45359
Phone:
800.860.2376
937.676.2376
Fax: 937.676.2478
contact@cds.com

Voice 800.860.2376 937.676.2376 Fax 937.676.2478

One off Order Form
For a printable copy in PDF format Click here.


Date____________________                     Send order form to:
Company_________________                     CD Solutions, Inc.
Address_________________                     100 W. Monument St.
_______________________                      Pleasant Hill, OH 45359
City___________State________Zip________      1-800-860-CDROM (2376)
					     Fax 937-676-2478
Contact__________________ Phone______________
Fax______________________
PO#______________________
Title of CD______________________
Quantity__________    Packaging style___________________________


Ship To:______________________________________
Company_______________________________________
Address_______________________________________
______________________________________________
City___________________State_______Zip________
                    Special Instructions:	
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
NOTE: If we determine that you do not have the proper rights to duplicate a job
we reserve the right to stop production at any point and invoice you for the 
work we have completed.  The discs will be destroyed and source discs will be
turned over to the legal authorities for prosecution. DO NOT MAKE ILLEGAL COPIES!

Ship Via: (circle one)

Ground    Express Saver (3 day)    Two day    Overnight  Next morning

Credit Card Holders

Cardholder acknowledges receipt of goods and/or services in the amount of the total, including shipping charges, and agrees to perform the obligations set forth in the cardholders agreement with the Issuer.

Circle one: VISA, MC, Discover, Amex. Card number_________________________________________Exp.___________

Approval:

See the liability page for important limits of liability, disclaimer, terms and conditions. By signing this agreement you acknowledge that you read the attached page and agree to those terms.

______________________________________________________
Signature (Written) Date

Because International Credit cards cannot be verified, this offer is good only for shipments within the United States.

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