Provide ALL of the following information. NOTE 1:  DO NOT press the "ENTER" key until you are ready to Submit this Form. To move around the page, use the "TAB" key, "Arrow Keys", or Scroll the page with your mouse. NOTE 2:  I am completely committed to Personal Privacy. Outside of what is needed to handle your order or request, none of the information you submit to Player-Care will be used for any other purpose, period!
BILLING ADDRESS (your home address or PO Box -see NOTE  
Full Name  (Example: John A Tuttle)Valid Email Address  (Example: jtuttle@my-isp.com)Email Address  (again - double-check)Billing/Mailing Address  (St, Ave, Rd, Dr, Ln, Ter, Cir, Apt, etc.)City or Town  (Example: Bricktown)State  (Example: New Jersey)Zip Code  ..Zip+4  (if known)Phone Number  (Incl. Area Code) Please take a moment to verify the accuracy of the information you submit!! NOTE: As a general rule, your PO Box is "NOT" the address that your credit card company has on file as your Billing Address. Most often the correct address is your home address. If you're not sure, please list your Home Address. 
SHIPPING ADDRESS (IF DIFFERENT THAN BILLING)  
Full Name  (Example: John A Tuttle)Shipping Address  (incl. St, Ave, Rd, Apt, etc.)City or Town  (Example: Bricktown)State  (Example: New Jersey)Zip Code Phone Number  
CREDIT CARD INFORMATION 
Card Holder's Name  (A Person's Name)Credit Card Number (16 digits)  (Visa, MasterCard, Discover, or AMEX)Credit Card Number (again) Expiration Date  (Example: 12/08 [mo/yr])Security Code  (CVV Code, 3 digits or 4 for AMEX) 
ENTER THE ITEM  AND THE QUANTITY  OF THE DESIRED PRODUCT. 
EXAMPLE: ITEM: HIDE GLUE ..... QUANTITY: 2 LBS.
 
Shipping Options: 
NOTE! Items shipped via USPS Priority Mail are automatically insured to $100.00. If you want additional insurance, you MUST select that option. Regarding insurance, see NOTE  below. 
NOTE! As of 7/1/2015 we are also offering UPS Ground service. Generally speaking, UPS is now less expensive than USPS if the shipment weighs over eight (8) pounds and must be packed in an over sized box (13" x 10" x 8" or larger). By default, orders are automatically insured for $100.00. If you want additional insurance, you MUST select that option. Regarding insurance, see NOTE  below. 
Use this box for Special Orders, Questions, and/or Comments 
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or  
 Charge will appear on your credit card statement as PLAYER PIANO REPAIR