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Poster Order Form...

Please accept my order for the following Posters. Enclosed please find my check or money order, made out to PUGUA' International Corporationin the amount of $__________

Name:
Address:
City: State: Zip:
Daytime Phone: Evening Phone:
Bill My:            WB01388_.gif (106 bytes)   VISA          WB01388_.gif (106 bytes)   MasterCard          WB01388_.gif (106 bytes)   American Express
Card #: Expiration Date:
Signature:
Quantity

Item No.

Description

Unit Price $

Total Order $
 

P-01

Poster01

$10.00

$
 

P-02

Poster02

$10.00

$
 

P-03

Poster03

$10.00

$

P-04

Poster04

$10.00

$

P-05

Poster05

$10.00

$
P-06 Poster06 $10.00 $
P-07 Poster07 $10.00 $
  A-1 Agimat1 $10.00 $
  A-2 Agimat2 $10.00 $
  A-3 Agimat3 $10.00 $
  M-01 Mannge01 $10.00 $
  M-02 Mannge02 $10.00 $
  M-03 Mannge03 $10.00 $
  M-04 Mannge04 $10.00 $
  M-05 Mannge05 $10.00 $
  M-06 Mannge06 $10.00 $
  M-07 Mannge07 $10.00 $
  WP-1 Weddingposter1 $10.00 $
  WP-2 Weddingposter2 $10.00 $
  WP-3 Weddingposter3 $10.00 $
  WP-4 Weddingposter4 $10.00 $
  WP-5 Weddingposter5 $10.00 $
  WP-6 Weddingposter6 $10.00 $
  WP-7 Weddingposter7 $10.00 $
  WP-8 Weddingposter8 $10.00 $
  WP-9 Weddingposter9 $10.00 $
  WP-10 Weddingposter10 $10.00 $
  WP-11 Weddingposter11 $10.00 $
  WP-12 Weddingposter12 $10.00 $
  WP-13 Weddingposter13 $10.00 $
  PP-1 Putionposter1 $10.00 $
PP-2 Putionposter2 $10.00 $
PP-3 Putionposter3 $10.00 $

Add Shipping $2.00 Per Poster

$

Total Order $ $

AG00113_.gif (2541 bytes)     Please Send Check or Money Order To... AG00113_.gif (2541 bytes)


Pugua' International Corporation
1050 Bishop Street, Suite 200
Honolulu, Hawaii 96813
Tel: (808)247-8742
e-mail: chamori@lycos.com

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