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Choice of :(meal)
Please mail, fax or email
| Name: _________________________________________________ |
| Email: _________________________________________________ |
| Company (optional): ______________________________________ |
| Address: _______________________________________________ |
| City: __________________________________________________ |
| State: _______________ Country: _____________ Zip: _________ |
| Phone: (___) ____- ______ |
| ( ) I am enclosing
a check or money order for _____________________ including $8
postage. Please note if you need other than normal shipping please call 732-583-9198 for rates. |
| ( ) I want to charge this purchase to my Credit Card MUST BE OVER $20 |
| VISA | |
| MasterCard | |
| American Express | |
|
Credit Card (check one): Card Number: _________________________ Expiry Date: _______ |
Signature: _____________________________ I authorize Irish Tinker Shop to charge $____________ to my credit card for my order.
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