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| User Information: | |
| Change the information below as needed and click the "submit changes" button. Your personal information is kept confidential and never shared or sold. | email address: |
(this is your account name) |
| password: |
(no more than 10 characters) |
| verify password: | |
| security question: |
(ex. "What is your favorite ice cream?" or "What is your favorite city?") |
| security answer: | |
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Do you want us to send you a weekly email about new releases available? |
Yes, email me about new music available. (Uncheck this box to remove yourself from the list for future emailings.) |
| Payment Information: | |
| Credit Card: |
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| Card number: | |
| Security code: | (3-digit code on back of your card) |
| Expires: | |
| First Name: | |
| Last Name: | |
| Address 1: | |
| Address 2: | |
| City: | |
| State: | |
| ZIP code: | |
| Phone: | (xxx) xxx-xxxx |
