Zum Gali Gali Rubber Stamps
               PO Box 610187, Newton Highlands MA 02461
                         Phone: (617) 965-1268 
                          Fax: (617) 965-6158
                          
                 E-mail: sales AT zumgaligali DOT com


    Hey, print this page, fill it out, and mail it with your check.
    We'll get your stamps in the mail pronto.

    To:    Zum Gali Gali Rubber Stamps
           PO Box 610187
           Newton Highlands, MA 02461
  
    Ship to - Name:_______________________________

              Street:_____________________________

              City:_______________________________

              Phone or e-mail:____________________

      Unmounteds: check the "U" column and enter half the regular price
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     Item No |  Description           |Quantity| U | Price | Total
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                                                     Total |
      Price codes:                                         --------
      C   $4.50              MA residents add 5% sales tax |       
      D   $5.00                                            --------
      E   $5.50       USA Shipping: mtd $4.00, unmtd $2.50 |       
      F   $6.00                                            -------- 
      G   $6.50                            Amount enclosed |
      H   $7.00                                            --------
      J   $7.50
      K   $8.00
      L   $8.50

      If paying by credit card: card number _______________________

                    expiration date  _________  Signature ______________
 
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