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Fax Order Form

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Wellies.ie  Fax Order Form

Name:_______

Address:_______________

_______________________

Phone:____________________          Mobile:______________________

Product Code:_________________________


Product Description:__________________


Qty: ___________                Size:___________


PayPal Receipt No: _________________


Customer Signature:_________________

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A. Giraffe Glamour - Wedge Welly
€49
In Stock 1
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