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Or print this and mail to:

Dave Stemm

CMR 475, Box 126

APO, AE 09036

or

Dave Stemm

Kirchgasse 34A

97230 Estenfeld

Name:______________________

Shipping info:

_______________________________

_______________________________

_______________________________

_______________________________

#0792101 Qty._______   each $9.00 or 20DM   Total:___________

#0792102 Qty._______   each $7.00 or 15DM   Total:___________

#0792103 Qty._______   each $7.00 or 15DM   Total:___________

#0792104 Qty._______   each $7.00 or 15DM   Total:___________

#0792105 Qty._______   each $7.00 or 15DM   Total:___________

#0792106 Qty._______   each $7.00 or 15DM   Total:___________

#0792107 Qty._______   each $7.00 or 15DM   Total:___________

#0792108 Qty._______   each $7.00 or 15DM   Total:___________

#0792109 Qty._______   each $7.00 or 15DM   Total:___________

                                                                          Subtotal:___________

                                                                          Shipping:$4.00 or 9DM

                                                                              Total:___________

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