ORDER FORM

Please send me the following CD(s)

Samagaha: ________ CD(s)

Lolongkrang: ________ CD(s)

Price: US$15.00 per CD for shipping with the U.S.A.

Please make checks or Money Orders payable to:

               BURHAN SUKARMA

Name:__________________________________________

Address: ______________________________________

_______________________________________________

City___________________ State:____   Zip_______

Telephone (optional): _________________________

Send order form to:

          Pusaka Sunda
          P.O. Box 721011
          San Jose, CA 95172
          (408) 275-9575

Please allow 4-6 weeks for delivery.