MusicGoals Order Form

Singing Electron LLC
13901 Balsam Lane North
Dayton, MN 55327

Quantity

____ $49.95 MusicGoals Rhythm 2.0 CD and User Guide

____ $79.95 MusicGoals by Eye and Ear 1.6 CD and User Guide

____ $29.95 MusicGoals Rhythm 1.0 CD and User Guide

____ $27.95 Upgrade to MusicGoals Rhythm 2.0 from 1, CD & Guide

____ $379.95 Site License MusicGoals Rhythm 2.0

____ $399.95 Site License MusicGoals by Eye & Ear 1.6

- X - $6.00 Shipping in USA and Canada

____ $11.00 Shipping outside USA and Canada

---- Order Subtotal ----

---- Add 6.65% sales tax to subtotal if shipping within Minnesota


Name:________________________________________________

Address: ________________________________________________

___________________________________________________________

Credit Card: __ Visa __ MasterCard __ Discover __ American Express

Card Number: ___________________________________

Exp. Date: ___________ Security Code on back of card: _________

Phone: ____________________________

Email: ______________________________

Phone: 763-323-3024
Fax: 763-323-7151

Total

_______

_______

_______

_______

_______

_______

USA - $6.00 -

0r $11.00 ______

Subtotal:_______

MN tax: _______

Total: _______