TO: Anwyl Bromeliads
P.O. Box 57.021 Mana
PORIRUA 5247. or FAX to (04) 2399-671
FROM:
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please supply:
| Qty | item | Cost | Qty | item | Cost |
| Starter collections @ $30 | |||||
| Add freight cost | 6.00 | ||||
| Total |
Payment by: cheque
Visa
Mastercard
Amex
Card #
Cardholder name ________________________________________
Card expires ___/___ MM/YY Signature:
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