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6.7.9.8.3 Irie Pascal (Universal Edition) UK Order Form

No. UsersUnit PriceQuantityAmount
    1    69.95________ _____________
    5   269.95________ _____________
   10   499.95________ _____________
   20   899.95________ _____________
   40 1,599.95________ _____________
  100 2,699.95________ _____________
Shipping
& Handling     3.00 _____________
TOTAL _____________

[  ] Check/Money Order enclosed

Name:_______________________________________________________

Address:____________________________________________________

City/State/Province:________________________________________

Country/Postal Code:________________________________________

Telephone:_______________________________________ [optional]

Email Address:___________________________________ [optional]

How did you hear about Irie Pascal?_________________________

_________________________________________________ [optional]

[  ] Tick this box to join the Irie Pascal mailing list.

Please do not send cash. Make checks or money orders payable to Irie Tools. All prices are quoted in UKŁ and are guaranteed until March 31, 2004. Please allow two to four weeks for delivery. If you fill in your email address you will be notified by email when your order is shipped.

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