Full name:
Your email address: (e.g.: [email protected])

What is your shipping address?

Address:
Suite:
City:
State/province:
ZIP/Postal code:
Country:

If problems should arise, how can we best reach you?

Phone number:
Fax number (if applicable):

If you have ordered from us in the past, is this a new address?

Yes or No

What payment option will you use?

Fastest
Mastercard	(card #):		Expiration:
Visa	(card #):		Expiration:
AmExp	(card #):		Expiration:

A bit slower method: as the order will not be processed until -

Check or money order (drawn in United States dollars) payable to Water's Edge Records is received at the following address:

Water's Edge Records
400 Hillwood Avenue
Falls Church, Virginia  22042-2204
USA

Select the item(s) you are ordering:

WER101	Chopin Waltzes: James Jelasic	CDs @ $17.00 =	$
Add the following for shipping and handling:
Up to 5 copies to same address - add $3.00 each			$
Single copies to multiple address - add $3.00 each			$
More than 5 copies to same address - add $10.00 total			$
Virginia orders - add   .77 sales tax for each CD			$
Total Order:			$

Please allow 1 to 2 weeks for standard delivery.  Overnight and 2 day special handling and expedited delivery is available upon request.