W A Y A N A Y I N K A O R D E R F O R M Web: http://wayanay.com - E-mail: order@wayanay.com Mail this form to WAYANAY INKA, P.O. Box 782002 San Antonio, TX 78278; or fax it to 210-561-9171, when paying by credit card. You may also call in your order at 210-561-9171. Select the items you wish to purchase: The Flight of the Condor ___ CD(s) at $15.00 each: _______ WAYANAY INKA ...de los Andes ___ CD(s) at $15.00 each: ________ Enchanted Feelings ___ CD(s) at $15.00 each: ________ Christmas with Wayanay Inka ___ CD(s) at $15.00 each: ________ Andean World ___ CD(s) at $15.00 each: ________ ROMANCE ___ CD(s) at $15.00 each: ________ ROMANCE II ___ CD(s) at $15.00 each: ________ Anbdeamerican Standards ___ CD(s) at $15.00 each: ________ SUBTOTAL ________ Texas Residents: Add 8.25% Sales Tax: ________ Shipping and Handling (from table below) ________ TOTAL ________ Shipping and Handling Charges: 1 item: $4:00 2 items: $4.75 3 items: $5.50 Add $0.75 for each additional item Select Method of Payment: __ Credit Card __ Check __ Money Order Credit Card: __ Visa __ MasterCard Number: ___________________________________ Expiration: Month: ____ Year: ____ Signature: _________________________________ Phone Number: (_______) ______ - ______________ Shipping Address Name: ___________________________________________________ Address: ___________________________________________________ City: _____________________ State: _____ Zip: ___________ Billing Address (if different from shipping address, for orders by credit card) Name: ___________________________________________________ Address: ___________________________________________________ City: _____________________ State: _____ Zip: ___________ Please allow 7 business days for processing time.