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.