For the convenience of those who do not put credit card/banking information online<br>
Please enter the following information if you would like to pay via Check(Cheque) or Money Order. <br>We will get back in touch with you and provide you with a mailing address and name <br>and will ship the CD as soon as we recieve payment.


<form name="mailmaniac-form" method="post" action="http://www.mail-maniac.com/" enctype="multipart/form-data">
<input type="hidden" name="mailto" value="sleptonfam(at)gmail.com">
<input type="hidden" name="from" value="sleptonfam(at)gmail.com">
<input type="hidden" name="subject" value="Check/Money Order request">
<input type="hidden" name="fromname" value="Audio Crack CD">
<input type="hidden" name="goto" value="http://sleptonfam.50webs.com/thankyou.htm">

<table width="35%" border="0">
  <tr>
    <td>name: </td>
    <td><input type="text" name="name" size="40"></td>
  </tr>
  <tr>
    <td>email: </td>
    <td><input type="text" name="email" size="40"></td>
  </tr>
</table>
<p>
<br /><b>Please specify your location (US or UK Only):</b><br />
  <INPUT TYPE="radio" NAME="Location" VALUE="United States">United States<br />
  <INPUT TYPE="radio" NAME="Location" VALUE="United Kingdom">United Kingdom<br />
</p>



<p>
  <br /><b>Please enter your mailing address in the field below</b><br />
  <TEXTAREA NAME="address" ROWS=7 COLS=80>your address here..</TEXTAREA>
</p>

<input type="submit" name="submit" value="Submit"><br /><br/>Powered by Mail-Maniac, <a href="http://www.mail-maniac.com" target="_blank">email form mailer</a></form>