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Order form :
Postage
cost (Shipping
company : La Poste)
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ONLY
IN FRANCE
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XL PARCEL
: 2 X 5L
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11.80
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XL PARCEL
: 3 X 3L
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11.80
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XL PARCEL
: 1 X 5L + 1 X 3 L
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11.80
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L
PARCEL
: 1 X 5L
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10.20
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L
PARCEL
: 1 X 3 L
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10.20
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PARCEL
: 1 bottle
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9.50
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PARCEL
: 2 bottles
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10.50
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PARCEL
: 3 bottles
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12.40
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Order
form
(Please
fill in the order form below, print it and send
it to us along with your payment by cheque payable
to Mr and Mrs Liberato
to the following address
: Mr and Mrs Liberato - 63 rue Jean Jaurès
- 13890 Mouriès - France)
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Item
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Quantity
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Unit
price
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Postage
cost
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Total
price
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TOTAL
AMOUNT
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Please
make sure you provide us with your narre and address.
Dont
forget to let us have your phone number as well.
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Location
/ Direction