Maison Clobert ORDER FORM

Name __________________________________________

Address ________________________________________

_______________________________________________

City ___________________ State ____ ZIP ___________

Phone ___________________Fax ___________________

Email __________________________________________

How I found this web-site __________________________

Contact me regarding Claudia Hommel's performances________

____Women of Paris DVD(s) @ $10 = $ ____ ____By the Riverbank: the Jazz Fauré Project
CD @ $15 = $ ____
____Jazz Fauré Project: au bord de l'eau
CD @ $15 = $ ____ ____The Jazz Fauré Project two-album set (Au bord de l'eau AND By the Riverbank)
CD @ $20 = $ ____
____Romance Language CD @ $15 = $ ____
____ Romance Language cassette @ $10 = $ ____
____ Paris/Paree CD @ $15 = $ ____
____ Paris/Paree cassette @ $10 = $ ____
____ Paris in the Jazz Age CD @ $15= $ ____
____ Paris in the Jazz Age cassette @ $10 = $ ____
____ Mostly French CD @ $10 = $ ____
____The "4-Combo" (any 4 items for $40 ) = $ ____ ____The "3-Combo" (any 3 items
for $35) = $ ____
OR subtract $5           
when ordering any 2 items, = $ –____

Free standard shipping

Donations are gratefully accepted = $____ TOTAL payable to "Maison Clobert"= $____

CREDIT CARD purchase
(Mastercard, Visa or American Express):

  • PRINT the cardholder name_____________________
  • Card # __________________________

  • Expiration Date ______________

  • Billing Address ___________

  • Billing ZipCode ___________

  • 3-digit code (on back of your card)___

  • Signature_______________________

  • Each recording is accompanied by complete lyrics, translations and background notes.
    For more information, contact us at clobert@cabaret-paree.com or 773-509-9360!

    PRINT THIS PAGE and send with payment payable to:

    Maison Clobert
    P.O. Box 259327
    Chicago IL 60625, USA