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DORE GABRIEL
1 LAS OLAS CIRCLE
FORT LAUDERDALEOrder Form
FLORIDA
33316
USA.

Phone/Fax:- 1-954-467-7270

ITEM	DESCRIPTION	COLOUR	FABRIC	SIZE	QTY	AMOUNT
	A %5  CC  FEE	WILL BE	ADDED

Shipping (1 to 3 items add $4, 4 to 6 items add $6
TOTAL

We accept most major credt cards, money orders and cashier's checks.
(If paying by credit card please complete the following)

Card Type (Please circle)	VISA MASTER CARD AMERICAN EXPRESS DISCOVER CARD
Card Number
Expiry Date.

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