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Name: ____________________________________________________ |
| Item # | Description | Qty. | Price |
| _______ | ___________________________________ | ___ | -- |
| _______ | ___________________________________ | ___ | -- |
| _______ | ___________________________________ | ___ | -- |
| _______ | ___________________________________ | ___ | -- |
| _______ | ___________________________________ | ___ | -- |
| _______ | ___________________________________ | ___ | -- |
| _______ | ___________________________________ | ___ | -- |
| Sets of 7 (US$ 10.00 or CA$ 13.00) | $ | ||
| Sub Total | $ | ||
| Shipping & Handling | $ 1.95 | ||
| TOTAL enclosed | $ |