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| Name: |
| Postal Address:   | |
| State: | Zip/Postcode: |
| Country: | |
| Phone: | email: |
| Yes! Please add me to the Klezmania email list. | |
| Yes! Please add me to the regular Klezmania mail list. |
| Please supply me with the following: (please quote in US dollars if purchasing from outside Australia) |
| Item | Quantity | Within Australia ($AUD) | Outside Australia ($US) | Amount |
| Oystralia CD |   | $25.00   | $24.00   |   |
| Oystralia Cassette |   | $15.00   | $14.00   |   |
| The Black Cat CD |   | $25.00   | $24.00   |   |
| The Black Cat Cassette |   | $15.00   | $14.00   |   |
| Shmoozin (CD only) |   | $25.00   | $24.00   |   |
| Postage and Handling |   | $5.50   | $7.50   | $  |
| Total:    | $  | |||
| Please make cheque (check) payable to K L E Z M A N I A: Mail to:     Klezmania Sales |
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