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Musmate Products Order Form for Australia and New Zealand
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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 (A$)
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Total
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Complete Set for the Left Leg
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205
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Complete Set for the Right Leg
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205
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Complete Set for Both Legs
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349
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Product
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Size
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Colour
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Quantity
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Price (A$)
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Total
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Left Leg Shoulder Harness
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82
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Right Leg Shoulder Harness
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82
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Both Legs Shoulder Harness
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139
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Shoulder Pad
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14
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Elastic Assembly
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39
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Shoe Harness for Left Foot
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69
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Shoe Harness for Right Foot
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69
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Shoelace Connector
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14
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Delivery Charge (less than A$100, A$20; otherwise A$60)
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Total______________________________________________________________
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_________
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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
aspac@musmate.co.uk
A company registered in England and Wales, No. 5671724.