Equipment Order Form

Equipment Order Form

Submit this form to order MUSIC & MEMORY® equipment. Our fulfillment partner will contact you and provide an invoice. You won’t be charged now.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Standard Music Kit - $35

32GB MP3 Player with Bluetooth, Built-in HD Speaker, and FM Radio. Includes over-ear headphones. MP3s not included.
All-in-One Music Kit - $30

Wireless headphones with built-in MP3 player (microSD). Includes microSD card and microSD card reader. MP3s not included.
Which option would you be interested in purchasing?*
How many kits are you interested in purchasing? Bulk discounts may be available. *
How did you hear about Music & Memory?*
Got a question? Drop us a note by email.
Please verify that you are human*
Should be Empty:

Standard Music Kit - $35