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| 1st(1st leg) | Antigua & Barbuda | - | Netherlands Antilles | 2:0 (1:0) | ||
| 2nd (2nd leg) | Netherlands Antilles | - | Antigua & Barbuda | 3:0 (1:0) | ||
| 1st(1st leg): 18/02/2004 20:00 | 2nd (2nd leg): 01/04/2004 00:30 | Winner: Netherlands Antilles | ||||
| 1st(1st leg) | Virgin Islands | - | St. Kitts & Nevis | 0:4 (0:1) | ||
| 2nd (2nd leg) | St. Kitts & Nevis | - | Virgin Islands | 7:0 (2:0) | ||
| 1st(1st leg): 18/02/2004 23:00 | 2nd (2nd leg): 31/03/2004 23:00 | Winner: St. Kitts & Nevis | ||||
| 1st(1st leg) | Haiti | - | Turks & Caicos | 5:0 (3:0) | ||
| 2nd (2nd leg) | Turks & Caicos | - | Haiti | 0:2 (0:2) | ||
| 1st(1st leg): 19/02/2004 01:30 | 2nd (2nd leg): 22/02/2004 01:00 | Winner: Haiti | ||||
| 1st(1st leg) | Br. Virgin Islands | - | St. Lucia | 0:1 (0:0) | ||
| 2nd (2nd leg) | St. Lucia | - | Br. Virgin Islands | 9:0 (3:0) | ||
| 1st(1st leg): 22/02/2004 20:00 | 2nd (2nd leg): 28/03/2004 22:00 | Winner: St. Lucia | ||||
| 1st(1st leg) | Cayman Islands | - | Cuba | 1:2 (0:0) | ||
| 2nd (2nd leg) | Cuba | - | Cayman Islands | 3:0 (1:0) | ||
| 1st(1st leg): 23/02/2004 00:00 | 2nd (2nd leg): 27/03/2004 20:00 | Winner: Cuba | ||||
| 1st(1st leg) | Grenada | - | Guyana | 5:0 (2:0) | ||
| 2nd (2nd leg) | Guyana | - | Grenada | 1:3 (1:1) | ||
| 1st(1st leg): 28/02/2004 23:00 | 2nd (2nd leg): 14/03/2004 19:00 | Winner: Grenada | ||||
| 1st(1st leg) | Aruba | - | Suriname | 1:2 (0:0) | ||
| 2nd (2nd leg) | Suriname | - | Aruba | 8:1 (4:1) | ||
| 1st(1st leg): 28/02/2004 23:00 | 2nd (2nd leg): 27/03/2004 20:00 | Winner: Suriname | ||||
| 1st(1st leg) | Bermuda | - | Montserrat | 13:0 (6:0) | ||
| 2nd (2nd leg) | Montserrat | - | Bermuda | 0:7 (0:5) | ||
| 1st(1st leg): 29/02/2004 19:00 | 2nd (2nd leg): 21/03/2004 23:00 | Winner: Bermuda | ||||
| 1st(1st leg) | Dom. Republic | - | Anguilla | 0:0 (0:0) | ||
| 2nd (2nd leg) | Anguilla | - | Dom. Republic | 0:6 (0:2) | ||
| 1st(1st leg): 19/03/2004 19:30 | 2nd (2nd leg): 21/03/2004 19:30 | Winner: Dom. Republic | ||||
| 1st(1st leg) | Dominica | - | Bahamas | 1:1 (0:0) | ||
| 2nd (2nd leg) | Bahamas | - | Dominica | 1:3 (0:1) | ||
| 1st(1st leg): 27/03/2004 00:00 | 2nd (2nd leg): 28/03/2004 21:00 | Winner: Dominica | ||||
