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Musmate Products Order Form for the European Union
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Product
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Harness Size
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Shoe Size
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Quantity
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Price (Euro)
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Total
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Complete Set for the Left Leg
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124
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Complete Set for the Right Leg
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124
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Complete Set for Both Legs
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209
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Product
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Size
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Colour
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Quantity
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Price (Euro)
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Total
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Left Leg Shoulder Harness
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49
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Right Leg Shoulder Harness
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49
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Both Legs Shoulder Harness
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79
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Shoulder Pad
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9
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Elastic Assembly
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24
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Shoe Harness for Left Foot
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40
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Shoe Harness for Right Foot
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40
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Shoelace Connector
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9
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Delivery Charge (less than 100 Euro, 15 Euro; otherwise 39 Euro)
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Total______________________________________________________________
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Name:
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Address:
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Telephone Number (in case of queries):
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E-mail Address (in case of queries):
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Payment
Please make cheques payable to Musmate Ltd.
Send Payment to:
Musmate Ltd, P.O.Box 3976, Bath, Somerset, BA1 0DF, UK.
Telephone 0845 094 4674, fax 0845 094 4674,
e-mail
sales@musmate.co.uk
A company registered in England and Wales, No. 5671724.