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Order Information
Phone: (0121) 680 -2229

Print this form and send to

R.Simpson, GB Machins, 8, Cranbourne Close, Rubery, Birmingham B45 0DN, UK

e-mail gbmachins@lineone.net

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	Order Form


	Item #


	Description


	Price


	Qty.


	Subtotal.


	p & p.

	Total.


	Total.


	Your Shipping address


	Name


		Company

		City

	Country

		Email

	Name

	Company

	City

	Country

	Email


	State

	Zip


	Billing address


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	State

	Zip



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