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The Pinza Collection Order Form

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Send to: Pete Pinza
2/25 boomerang
kingscliff, nsw 2487
Australia
Your Mailing Address
Name:
Address:
City: State: Zip:
Phone Number:
Composition Number Qty Size Price Amount
  ea 22" X 16" $AUS60 $
  ea 22" X 16" $AUS60 $
  ea 22" X 16" $AUS60 $
  ea 22" X 16" $AUS60 $
  ea 22" X 16" $AUS60 $
  ea 22" X 16" $AUS60 $
  ea 22" X 16" $AUS60 $
Shipping & Handling - $AUS10 in Australia and $AUS20 to USA, Europe or Asia $
(Please enclose check or money order) Total $

Please attach any special instructions you have for Pete on a separate sheet of paper.