HARMONY CONCEPTS, INC.

Box 4185, Thousand Oaks CA 91359
(818) 852-7076 (Phone Orders)

Order Form


Customers using Visa or Mastercard may:

FILL IN ALL THE FIELDS BELOW AND CLICK ON THE "PLACE ORDER" BUTTON AT THE BOTTOM OF THE PAGE.
YOUR ORDER WILL BE TRANSMITTED VIA SECURE MEANS TO HARMONY CONCEPTS, INC.

CREDIT CHARGES FROM THIS SITE WILL APPEAR ON YOUR STATEMENT AS A CREDIT TO "THE PROMISES"
(U.S. CUSTOMERS) OR "IPAY-HCONCEPTS" (INTER- NATIONAL CUSTOMERS).

THERE ARE NO SHIPPING AND HANDLING CHARGES FOR U.S. CUSTOMERS. THERE IS A $10 SHIPPING CHARGE FOR UP
TO 12 DVDS FOR CUSTOMERS OUT- SIDE THE U.S. WE NO LONGER ACCEPT ORDERS OR CORRESPONDENCE BY FAX.

Name

Address

City

State/Province

Country

Zip/Postal Code

Daytime Phone

Email Address

Card

Account Number
EXAMPLE: XXXX-XXXX-XXXX-XXXX

Expiration Date (mo. and yr.)

Item 1:

Item 2:

Item 3:

Item 4:

Item 5:

Item 6:

Item 7:

Item 8:

Item 9:

Item 10:

Item 11:

Item 12:

Item 13:

Item 14:

Dollar Amount of this Sale


If ordering more than Fourteen items, please fill out and submit this page and then continue your order on a new page. You will not be charged shipping and handling if you need to go to another page to complete your order. Thank you.


Click the Place Order button to begin processing your order.
You will receive confirmation via email.
If you click the order button more than once don't worry. We will
not charge you for the duplicate order. Thank you



To exit this page, please use your "Back" button.