After filling out this form and clicking "SEND" you will be contacted via e-mail or phone for local delivery of your CD when it is released.
Name: (required) *
Email: (required) *	Primary contact method for receipt of CD.
Phone	### - ### - #### secondary contact
Phone Number: (optional)	Secondary contact.
Subject: *	Do NOT edit the Subject field.
Alternate Contact: (optional)	Use This field if you have any other methods of contact (Facebook, Twitter, alternate e-mail etc.)

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