Page 1 of 2 - Encore Trax Order Form Version 2/18/2010 - Date: ___/___/______

Name: _______________________________________________________________________

Group or Organization: _____________________________________________________

Address1: __________________________________________________________________

Address2: __________________________________________________________________

City: ______________________________________________________________________

State: ________________________________________  Zip: __________-___________

Country: ___________________________________________________________________

Home Ph: (_____) _______ - __________  Home Ph: (_____) _______ - __________

Use Statement Must Be Signed Before Soundtracks Can Be Shipped.

I, the above signed purchaser, promise Benson Sound, Inc. that I will not use the 
soundtracks tapes for any other reason except for live performances, i.e. singing
in church or in a concert.  I understand they are not to be used for any type of 
recording without a properly executed Soundtrack Lease Agreement on file and lease
payment with Benson Sound, Inc. 

Signature _________________________________________________________________


Single-Song CD's - Qty 1 $10.00 each*  Qty 2-3 $9.50 each* Qty 4+ $9.00 each*

Note: All songs come on one CD unless specified otherwise.

10-Song Specialty Packages - CD's Only - $ 37.00 each*

ALL CD soundtracks are supplied with All songs on one CD Unless you specify
that you use individual CD's with an extra cost of $2.00 per soundtrack.

CD & Downloaded tracks cannot be returned because they are custom burned.

**Oklahoma Sales Tax Permit number _________________________________

Total Amount of Order $______.____

All orders must include $5.00 per order US Mail shipping & handling fee.
**Oklahoma City and /or State Sales Tax will be added unless a vaid sales tax 
   permit # is furnish with order.
Customers outside the USA must send and international Money Order in US Funds.
A $20.00 charge will be accessed for checks returned for any reason.
Prices and Policies are subject to change without notice.

Payment Method ( Please check selection below)

__ Cash or Check with order    __ Money Order    __ Visa    __ Master Card

Complete the section below for Charge Card Purchases

Card # ____________________________________________________________

Name on Card (Print) _________________________________________________

Expiration Date _____/______  Signature ______________________________________

Orders can be mailed or faxed to our offices.

Benson Sound, Inc.
3900 East I-240
Oklahoma City, OK 73135
(405) 670-4461 office
(405) 670-4778 fax
email: orders@bensonsound.com