Polkamotion CD Order Form

Please fill out the following information and submit payment of $12.00 pre CD collection at PayPal where they will show you how to send payments to E-mail address's   If you prefer check or money order please send it to Robert Klemen, xxx such and such street, Fishers Indiana, 46038, for an additional $3.00 pre order and we will send the hard CD via Snail Mail. 

Once payment is received you will be called via telephone or emailed the necessary key to open the following MP3 downloads at:

 http://indypolkamotion.com/polkamotion.zip

 Rock and Jazz can be downloaded in 3 files:  http://indypolkamotion.com/Rock1.zip  http://indypolkamotion.com/Rock2.zip  http://indypolkamotion.com/Jazz.zip  you will need an encrypted pass key to open these up and the same one works on all three files.

for Help Contact us by E-mail or Phone: 317-842-4844

  1. Please provide the following contact information:

    Name
    Title
    Organization
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
    Home Phone
    E-mail
    Electronic or CD

  2. Please provide your account information: Optional

    User Name
    Password
    Confirm Password

  3. Please provide the following ordering information:

    QTY CD NAME

    SHIPPING If you want CD
    Street Address
    Address (cont.)
    City
    State/Province
    Zip/Postal Code
    Country
http://Indypolkamotion.com
Copyright © 2005 [indypolkamotion]. All rights reserved.
Revised: 09/06/07