Untitled

Order Form
To order, print this form, fill in the required information and mail to:
Daniel Garcia
915-C Foothill Blvd #212
Claremont, CA 91711

Please make checks or money order payable to: Daniel Garcia
Name:
Address:
City:
State: Zip:
Phone: Fax:



Aconcagua - LIVE!!
CD
$15
QTY


Tilopa's Dream - By Ulises
CD
$15
QTY


Araucana - By Ulises
CD
$15
QTY


Voxinglero - By Ruben Izquierdo
CD
$15
QTY


Total
$


Shipping and Handling
First Order $3.00
Additional $1.50 each
Total Shipping & Handling
$


Grand Total
$


Check Number_____________________________________
Bank Name________________________________________
For questions regarding your order please call 951.204.1036
Keep a copy for your records.
Thank you!

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