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Name
Delivery Address
Postal Code
Telephone number
Cell number
Membership Number
Item
Size
Qty
Price
Postage
Key ring
Select
1
2
3
4
R20.00
R8
USB Hub
Select
1
2
3
4
5
6
7
8
9
10
R80.00
R12
Water bottle
Select
1
2
3
4
R45.00
R12
Mug + warmer
Select
1
2
3
4
5
6
7
8
9
10
R75.00
R25
Umbrella
Select
1
2
3
4
5
6
7
8
9
10
R100.00
R25
Mouse pad
Select
1
2
3
4
5
6
7
8
9
10
R40.00
R12
Business card holder
Select
1
2
3
4
5
6
7
8
9
10
R75.00
R12
Body warmers (blue)
Small – XL
Select
1
2
3
4
5
6
7
8
9
10
R175.00
R25
XXL – 4XL
Select
1
2
3
4
5
6
7
8
9
10
R 190.00
R25
ORDER TOTAL
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