Homage to Cuba CD Order Form

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If paying by check, enclose your check payable to Cultural Odyssey.
Thank you for your order!

Homage to Cuba CD QTY Price Amount California: (incl. S&H and Tax) _____ $18.00 ________.00 Out-of-state: (incl. S&H) _____ $17.00 ________.00       TOTAL: $________.00

First Name_________________   MI______   Last Name__________________ Address 1______________________________________________________ Address 2______________________________________________________ City_____________________________   State______   Zip_______________ Home Phone__________   Work Phone__________   Email_________________ [     ] Please charge my credit card for this order: Credit Card Number_________________________   Expiration Date_________ Signature______________________________________________________ [     ] I have enclosed a check to Cultural Odyssey.

mail orders to:   CULTURAL ODYSSEY · P.O. BOX 156680 · SAN FRANCISCO CA  94115-6680