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CATALOGUE ORDER FORM Skylight Galleries fax: +27 (0)21 251218 |
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1) A World of Light and Color 1994-1995 |
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2) A World of Light and Color 1995-1996 |
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3) A World of Light and Color 1996-1997 |
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other : |
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TOTAL : |
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Method of payment : |
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VISA ........ Mastercard ........ American Express ........ Diners Club ........ Cheque ........ Money Order ........ |
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Credit Card NO : |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Card expires............. |
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Title ..................... Name ................................................................................... | |
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Adress............................................................................................................... | |
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Postal code ....................................... |
Country..................................................... |
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Tel ................................................. |
Fax .......................................................... |
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e-mail.............................................. |
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Signature............................................................................................................. | |
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Allow 10 days approx for delivery | |