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ORDER FORM

NOTE: Funds must be received and cleared before delivery will


be made. Postage costs are NOT INCLUDED in this order.

191 Pallas Street, Maryborough Q 4650 Date


Ph: (07) 41231895
Day Month Year

Name

Address

Town/City State Postcode

Phone Mobile

Email

Image Number Car Number Quantity Size Total Cost

Total $
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PACKAGE DEAL - $60.00 $

1 12" x 18"

1 8" x 10"

1 8" x 10"

1 'Best of' DVD


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DRIVERS DEAL - $35.00 $

1 DVD

1 'Best of' DVD


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Payment Option GRAND TOTAL $

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