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Icelandic Woollens - Order Form
This order form is not yet processed through a secure server if you have doubts about using your credit card on-line then we suggest you print out and FAX this form.
International Fax# +61-3-63932066 - Within Australia # 03-63932066

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Credit Card Details:           * = Required Fields

* Card Type: VISA Bankcard Mastercard * Card Number:
* Expiry Date: Select Month 01 02 03 04 05 06 07 08 09 10 11 12 Select Year 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
* Name on card:

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Contact and Shipping Details:

	* Name:
	* Street:
	* City/Town:
	* State:
	Zip/Postcode:
	* Country:
	Phone:
	Fax:
	* E-mail:

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Catalog #:  Item Name:  Price: 
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Contact:
Icelandic Woollens Information
115 Bass Highway, or
P.O. Box 148
Westbury, TASMANIA
Australia 7303

Phone 61-3-63932011
Fax:    61-3-63932066