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STARWATCHER
STAR LAMPS Order Form -
print form, fill in details and mail with payment |
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Name .............................................................. Address
....................................... City
..................................... Post
Code ............... (optional) - Area Code ........ Phone .................... Email ..................................... |
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Please fill in the style name, size and price of the lamps you wish to order |
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| STYLE
NAME: ...................................... SIZE: .........
QUANTITY: ....... PRICE: $............
STYLE NAME: ...................................... SIZE: ......... QUANTITY: ....... PRICE: $........... STYLE NAME: ...................................... SIZE: ......... QUANTITY: ....... PRICE: $........... STYLE NAME: ...................................... SIZE: ......... QUANTITY: ....... PRICE: $........... STYLE NAME: ...................................... SIZE: ......... QUANTITY: ....... PRICE: $........... STYLE NAME: ...................................... SIZE: ......... QUANTITY: ....... PRICE: $........... STYLE NAME: ...................................... SIZE: ......... QUANTITY: ....... PRICE: $........... |
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| Please Print a Second form if you require more entries | |
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TOTAL
PRICE: $.....................
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PAYMENT
DETAILS (ALL
PRICES LISTED ON THIS WEBSITE ARE IN AUSTRALIAN DOLLARS)
Starwatcher
PO Box 36 Suffolk Park 2481 AUSTRALIA. |