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MAIL ORDER PURCHASE FORM |
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Please Print,
Fill Out & Mail With Check or Money Order To: |
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Victor Martinez |
U.S. Dollars |
| "Oaxaca, Los sonidos de la lluvia" CD @ $10 USD x # _____ ordered = | $ ______ |
| "Fandango del pez de luna" CD @ $10 USD x # _____ ordered = | $ ______ |
| "Trilce, Volumen I segunda edicion" CD @ $10 USD x # _____ ordered = | $ ______ |
| All Three CD's : Los sonidos ... & Fandango ... & Trilce @ $25.00 x # ______ ordered = | $ ______ |
Plus shipping, $4.90 for up to 5 items / $7 for 6 to 10 items / $9 for over 10 items |
$ ______ |
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$ ______ |
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Mandar los compactos / Ship Compact Discs To |
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Nombre / Name: |
______________________ |
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Direcci?n / Street Address: |
______________________ |
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Ciudad y Estado / City & State (Province) |
______________________ |
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Pa?s / Country |
______________________ |
| E-Mail : __________________ |
Telephone: _________________ |