| No. Users | Unit Price | Quantity | Amount |
|---|---|---|---|
| 1 | 95.95 | ________ | $_____________ |
| 5 | 399.95 | ________ | $_____________ |
| 10 | 744.95 | ________ | $_____________ |
| 20 | 1,359.95 | ________ | $_____________ |
| 40 | 2,399.95 | ________ | $_____________ |
| 100 | 3,999.95 | ________ | $_____________ |
| Shipping | |||
| & Handling | 8.00 | $_____________ | |
| TOTAL | $_____________ |
[ ] Check/Money Order enclosed
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Country/Postal Code:________________________________________
Telephone:_______________________________________ [optional]
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How did you hear about Irie Pascal?_________________________
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[ ] Tick this box to join the Irie Pascal mailing list.Please do not send cash. Make checks or money orders payable to Irie Tools. All prices are quoted in CA$ and are guaranteed until March 31, 2004. Please allow two to four weeks for delivery. If you fill in your email address you will be notified by email when your order is shipped.