VIA Music Communications - Secure Order Form, Teaching Through Music

visamaster.gif (24886 bytes) VIA Music Communications - Order Form

Fill in the form below. Submit for immediate order notification, or print-out and mail complete form to our address below:

VIA Music Communications
P.O. Box 42091
Cleveland, Ohio 44142

WebSite Services

If you have any questions about any of our Programs please contact Customer Service at the following Toll-Free number:

Customer Service: 1-800-222-0189
Fax Number: (330) 220-6367

* = Required Field

First Name: * Last Name: *

Company or School (if applicable):

Address 1: *

Address 2:

City: * State: * Zip Code: *

E-mail:

Phone: * Fax:

Credit Card: * Expiration Date: *

Credit Card Number: *

Purchase Order Number: *

Signature (if mailing or faxing) : _____________________________________*
Please make all Checks or Money Orders payable to: VIA Music Communications
If you are submitting this order electronically please include Credit Card information or Purchase Order number (above address must match card billing address)

Language Programs

	Number of Programs: Cost: $87.95 + $7.00 S+H CD or Cassette
	Number of Programs: Cost: $17.95 + $2.00 S+H
	Number of Programs: Cost: $67.95 + $7.00 S+H CD or Cassette
	Number of Programs: Cost: $87.95 + $7.00 S+H CD or Cassette

Books

Number of Booklets: Cost: $3.95 + $1.00 S+H

Video Programs

The CMA - Teach Any Lesson Through Music!

Number of Videos: Cost: $37.00 + $4.00 S+H

Spanish Through Music - Spanish Video Series
(Complete Series of all 4 Video Programs)

4 Video - Full Sets: Cost: $120.00 + $4.00 S+H

Video I	Present Tense
Video II	Interrogative Words
Video III	Words Followed by Infinitives
Video IV	Ser & Estar

Number of Videos: Cost: $34.95 + $4.00 S+H

Enter your total order price here: *

Please press Submit if using credit card or purchase order number.
Print this form and mail or fax today if sending check.

Remember: All of our Programs and Videos come with a
30 Day Money-Back NO QUESTIONS Guarantee!!