Doctor Audio Order Form

Thank you for ordering from Doctor Audio! You may fax us at (818) 996-3192, or call (818) 996-3032

NOTE: For those with concerns about using an unsecured server, we would like to point out that in well over three years we have never had any problems taking credit card numbers with this order form. However, we now have a Secure Server. If you wish, you may use our new Secure Order Form

Secure Order Form

If you think you may be experiencing any problems in using this form, please e-mail sales@doctoraudio.com

Special notice: US customers, please email or call us about additional discounts for cash sales (i.e. certified checks or money orders).


Doctor Audio Order Form

Full Name

Home Phone

Work Phone

Email Address

Billing Street Address

City

State

Zip

Country

Shipping Address
If different
from Billing
Address given above.

Platform

Manufacturer and Product

Quantity

 Unit Price
$
$
$
$
$
$
$
$

Shipping and Handling

Shipping & Handling Software Items

Total Quantity of Software Items:  
ex: If you are purchasing 1 software item, type "1" in the box.

Shipping & Handling Hardware Items

 Total Quantity of Hardware Items:  
ex: If you are purchasing 2 hardware items, type "2" in the box.

**NOTE**   Mulitple Items may incur slightly higher shipping charges.

Are you a Califoria resident?    YES   NO

Select a Payment Method

 Credit Card FAX Payment Info Check Cashiers Check Money Order Certified Funds

Personal and Company Checks

 If paying by company or personal check, SUBMIT the form then PRINT your e-mail confirmation and please remit it with your check to:

Wizard Network Communications
7918 Reseda Blvd. #305
Reseda, CA 91335

**NOTE**   Orders paid by checks will be held for ten days after receipt of check before shipping.

FAXED Orders

 If you would like to order by fax, SUBMIT the form then PRINT your e-mail confirmation. Sign it and date it and FAX it with your payment information by calling:

FAX:  (818) 996-3192

Or CALL:  (818) 996-3032

**NOTE**   Your confirmation e-mail will have spaces provided for you to add your payment information. You do not need to fill out your credit information below.

Credit Cards

 Credit Card Type
Credit Card Number
Expiration Date (mm/yy)
Name Appearing on Card

Comments

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