Yahoo! GeoCities
Order Form
To order, print this form, fill in the required information and mail to:
Fortaleza
915 -C W. Foothill Blvd. # 212
Claremont, CA 91711-3356
Please make checks or money order payable to: Daniel Garcia
Check Number_____________________________________
Bank Name________________________________________
For questions regarding your order please call (909) 204-1036
Keep a copy for your records.
Thank you!
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