CUBA COLLECTIBLES

ORDER FORM
(Print this form and send it by regular mail)
DATE
.
NAME:
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ADDRESS
.
CITY,STATE,ZIP
.
COUNTRY
.
E-MAIL
.
 
ITEM
PRICE
ITEM
PRICE
ITEM
PRICE
ITEM
PRICE
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TOTAL
$
 
Please send a Money Order or personal check to:
.
Miguel A De Dios
Po.Box 8156
North Bergen, NJ 07047.- USA
.
Thank you for your order