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Order Form

To order by email directly from this form, complete the form and then click the "Click Here to Place Order" button at the bottom.  All orders paid by credit card, money order, or cash are shipped within 24 hours of receipt of payment.  (PLEASE NOTE: Do not save this page "off-line" to place your order.  You must send this form to us through this web site for it to work correctly.)

You can also print this page, or use a blank sheet of paper as an order form for orders placed by mail. We accept orders at the address below, or by fax at 1 (425) 984-9823. Please provide all of the information requested so that we may complete your order quickly and correctly! Thank you.


Orders are payable by cash, check, money order or by Visa & MasterCard. For delivery outside of the United States, Canada, and Mexico please add $2.00 additional to cover extra postage cost of overseas Air Mail. (Orders from outside USA are payable by VISA, MasterCard, international bank draft, international money order, a check drawn on any bank with a US branch and payable in US dollars, PayPal. or cash in US dollars only)

We can process your VISA or Master Card through our merchants account. Information that you provide us in this order form will be forwarded to our office by conventional email. 

If you prefer to use a secure server to process your card, and pay by VISA, MasterCard, American Express, Discover Card, bank transfer, or e-check please use our PayPal account to make your payment. Please follow the instructions below carefully if you prefer to use PayPal.



STEP 1: Please provide the following ordering information:

Programs are produced in Compact Disc CD-R format.


(Please check one)

Guitar & Bass Memory Enhancer

1 Program:

 @  $10 00 
Keyboard Playing Confidence

2 Programs:

 @  $20 00 
Drumming Success

3 Programs:

 @  $30 00 
Musical Instrument Productivity

4 Programs:

 @  $40 00 
Stagefright Reducer Relaxation

5 Programs:

 @  $45 00 

6 or More Programs:


Total number of programs ordered:


Total Program Price:

Shipping is $7.00 for up to 5 programs in USA


 Canada & Mexico


 For orders of 6 or more 


$1.00 per title.
Order total payment (U.S.$):

Overseas Please


$2.00 to total.




Email Address First Name Last Name


Credit Card (If you are using PayPal, please indicate here)

Cardholder Name (Full name, exactly as it appears on credit card.)

Card Number

Tracking Number - IMPORTANT - Please locate the 3 or 4 digit tracking number on the back of your credit card, usually located on the signature strip after your card number, and enter it here.

Expiration Date

Phone (Required to process credit card.)


Street Address

Address (cont.)



Zip/Postal Code


BILLING ADDRESS (if different )

Street Address

Address (cont.)



Zip/Postal Code


STEP 3: Payment by PayPal Instructions: 

Fill out this form providing us with your program choices, order totals, and shipping address information.  In the "BILLING INFORMATION" section, on the credit card choice menu list, please select PayPal.  You do not need to provide your credit card information to us if using PayPal

  1. Next, click any PayPal link or the PayPal logo button below to open a new PayPal window. In the "Make an instant payment to:" box you should see our account name Liberty Information Research. 
  2. Click the "Send Money Now" button. In the "Payment for:" box type: ONLINE PURCHASE. In the "Amount:" box enter the total amount of your order. 
  3. Click the button labeled: "If you do not currently have a PayPal account click here"   
  4. Follow the instructions provided by PayPal to complete payment.  

You will not be required to join PayPal and they will process your credit card securely, and deliver payment to us instantly.  PayPal  will not retain your personal information if you do not choose to open an account with them.  Your credit card information will not be disclosed to us by PayPal

You will receive a confirmation by email that your payment has been made to Liberty Information Research.

After making a PayPal payment you must return to this page, fill in the shipping address information, time, and date. Then click the "Click Here to Place Order" button to get your order to us. We will match your payment to your order and ship it.

STEP 4: Date and Send Your Order:

Date: Time:

Check your information carefully, then...

Copyright (c) 2004/2006 L.I.Research.   All rights reserved.
Revised: 08.19.2006