Customer Details Form

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Customer Details Form

Thankyou for choosing Acme Distribution Systems for your Disc manufacturing needs.Please use this form to add all your details to our administration system and begin your disc production process.

By submitting an order with Acme Distribution Systems you confirm you are the legal owner of all material submitted and give Acme Distribution Systems permission to Copy/Replicate/Duplicate said materials whether audio/motion or image files. You indemnify Acme Distribution Systems from all claims relating to or resulting from the Copy/Replication/Duplication of the submitted material.

Mr./Ms...
First Name
Last Name
Band/Artist name
Address line 1
Address line 2
City
State
Country
Zip/Postal Code
E-mail
Phone Number
Fax
Mobile Phone
Web Address
Login Password
	This is to give you access to your online account history
Confirm Password
Give Access
Job Title
	Supply a Catalogue or Reference number for this product,eg ABCD-1234. When uploading artwork to our ftp and supplying your production master use this number so components can be easily connected.
Comments
	Quick discription of what you are ordering/re-ordering or the quote number if issued, we will call/email to confirm your requirements.