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Fill out the following form completely, then submit it. MOST ORDERS ARE PROCESSED AND SHIPPED WITHIN 48 HOURS OF RECEIPT (excluding Holidays and Sundays). Standard shipping is U.S.P.S. (United States Postal Service) unless you specify another method. Standard shipping inside the United States is $7.50 per box and is not included in the price. ** Please note that your order is traveling to an UNSECURE server. If you don't want to use your credit card number via the Internet, please leave that section blank, and we will call you for your number, or see our alternative ordering methods. Thank you for smoking our Gran Havana's Cigars! SHIPPING INFORMATION:  Have we ever mailed to you before? Yes No  Full Name:  Company:  Address 1:  Address 2:  City: State:  Zip Code: Country:  Daytime Phone: E-mail Address:  Credit Card #: Expiration Date: United States Postal Service (USPS) Federal Express Express Mail (US Postal Service) Airborne Express Alt. Courier   Next Day Second Day Three Day YOUR ORDER:  Cigar Name:       Quantity in Boxes Cigar Name Pencil Panatela Petit Corona Habanero Cubano Cubanito Magnum Punch Double Corona Cuban Torpedo Gran Torpedo Magnum Cognac Double Corona Cognac -------------------- Assortment Box $54.75 Sampler Box $69.75 -------------------- Havana Especial #1 Havana Especial #2 Havana Especial #3 Havana Especial #4 Sweet Natural Maduro Cigar Name Pencil Panatela Petit Corona Habanero Cubano Cubanito Magnum Punch Double Corona Cuban Torpedo Gran Torpedo Magnum Cognac Double Corona Cognac -------------------- Assortment Box $54.75 Sampler Box $69.75 -------------------- Havana Especial #1 Havana Especial #2 Havana Especial #3 Havana Especial #4 Sweet Natural Maduro Cigar Name Pencil Panatela Petit Corona Habanero Cubano Cubanito Magnum Punch Double Corona Cuban Torpedo Gran Torpedo Magnum Cognac Double Corona Cognac -------------------- Assortment Box $54.75 Sampler Box $69.75 -------------------- Havana Especial #1 Havana Especial #2 Havana Especial #3 Havana Especial #4 Sweet Natural Maduro Cigar Name Pencil Panatela Petit Corona Habanero Cubano Cubanito Magnum Punch Double Corona Cuban Torpedo Gran Torpedo Magnum Cognac Double Corona Cognac -------------------- Assortment Box $54.75 Sampler Box $69.75 -------------------- Havana Especial #1 Havana Especial #2 Havana Especial #3 Havana Especial #4 Sweet Natural Maduro Special Orders/Comments: (Please be sure to include the exact number and type of cigars, and indicate which are sweet or maduro or both) [ Home | About Us | Order Form | Products | Press | Map | Pictures] GRAN HAVANA CIGAR FACTORY 589 3rd Avenue, San Diego, CA 92101 Email: gran_havana@yahoo.com Telephone: (800) 427-0776 Fax: (619) 338-0776 Copyright © 1997 - 2003 - All rights reserved