All required fields will be marked with a '*' and must be filled in for us to be able to process your order. Failure to fill in accurate information can result in your order being cancelled or delayed. Where appropriate, you will be provided a default value on items which you are not interested in purchasing. If your browser does not support forms, you may want to try another method (fax or mail), or you  may send e-mail to United States Autosound Competition Member Services with the below information included in the body. Thanks! By placing an order on this site you hereby authorize USACi and it's employees to charge your credit card, PayPal account, or other payment method the full amount detailed in this form. Orders can and will be randomly selected for callbacks for quality assurance. In the event an item you ordered is on back order, someone will contact you and inform you when the item is expected to be back in stock.

Your Contact / Shipping Information *e-Mail Address : *Full Name : *Street Address : *Phone Number : *City : *State : *Zip Code : USACi Member # :             Requests for Additional Information You can select multiple items by holding the CTRL key (or COMMAND key if using an Apple) I do not want any information, thank you. I am a retailer and would like information on scheduling a show. I am a competitor and would like information on joining USACi I would like more information on your products (IE, clothing, stickers, CD's, etc...) I would like to join your mailing list. Order Details *New Membership - No thank you. Consumer - $35.00 Pro - $35.00 Dealer - $150.00   *Renew Membership - No thank you. Consumer - $35.00 Pro - $35.00 Dealer - $150.00 USACi Compeition CD's   *Competition CD ($20.00*)  - QTY - *BASS Music CD ($15.00) - QTY - USACi Sickers   *Jumbo ($25.00) - QTY - *Large ($10.00) - QTY -   *Medium ($6.00) - QTY - *Small ($4.00) - QTY - Payment Details     *Payment Type : N/A Credit Card PayPal By Mail**     *Credit Card Type : N/A Visa Mastercard Discover American Express *Credit Card Number : *Name on Card : *Expiration Date : *CCV Code :                 * Note RE: CD's - A $5.00 charge p/CD will be added to Competition CD's ordered by non-members. ** Note RE: Mail Orders - We do not accept personal checks. Funds must be the form of a money order, bank check, or cashier's check. Please do not send cash.

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