The following information must be completed and submitted with your order. We cannot process your order until we have received this form.

New Release

 

Date

Reorder

 

Ball Media Rep.

Project Title

Group / Artist

Catalogue / P.O. Number

 

 

CUSTOMER INFORMATION

BILL TO

 

Company / Group

Contact

Address

 

Telephone

Fax

Email Address

Website

SHIP TO

 

Contact Name

Telephone

Street Address

 

City

Province / State

Postal / Zip Code

* Federal ID / SSN

* For US Customers only, or for product that is being shipped from Canada to customers in the USA.

PAYMENT INFORMATION

For Credit Card orders the Credit Card Authorization Form must be completed. After you submit this order form you will be redirected to a page where you can select the above form to fill out on line.

REPLICATION INFORMATION

Capacity

Quantity

Master to arrive to Ballmedia on

PACKAGING INFORMATION

Other - Please specify

COMPACT DISC LABEL ART

* Please note that white is considered a color

 

Ball Media to output label films from supplied files

 

Customer to supply label films to Ball Media specs

 

Graphic design and setup required

SHIPPING INSTRUCTIONS

Regular Ground Delivery

 

3 - 5 business days

Other, please indicate

 

Account #

Shipper

Customer acknowledges that by pressing the Submit My Order button, he/she has read and accepts Ball Media’s standard Terms and Conditions

Name of authorized Person

Date

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