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Expiration Date:____________________________________________
Name:_______________________________________________________
Address:____________________________________________________
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Country/Postal Code:________________________________________
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How did you hear about Irie Pascal?_________________________
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[ ] 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 US$ and are
guaranteed until December 31, 2005. 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.
7.7.10.6.2 Irie Pascal (Universal Edition) CA$ Order Form
No. Users Unit Price Quantity Total Price
1 187.49 ________ $_____________
5 164.99 ________ $_____________
10 142.49 ________ $_____________
20 119.99 ________ $_____________
40 97.49 ________ $_____________
100 74.99 ________ $_____________
Shipping
& Handling 7.00 $_____________
