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Print this order form and mail all orders with remittance to:
Tuvalu Philatelic Bureau
P.O. Box 24
Funafuti
Tuvalu (Central Pacific)
Queen Mother's
Century |
Form 1999-C05 | |||
| Description | Value | Qty Mint | Qty Used | Total Value |
| Set: 40c, 50c, 90c, $1.50 | $3.40 | |||
| Set First Day Cover | $3.90 | |||||||||||||||||||| | ||
| Set Gutter Pairs | $6.80 | |||
| Set Gutter Pairs FDC | $6.80 | |||||||||||||||||||| | ||
| Set Block of 4 | $13.60 | |||
| Souvenir Sheet: $2.00 | $2.00 | |||
| Souvenir Sheet FDC | $2.50 | |||||||||||||||||||| | ||
| Presentation Pack (set + S/S) | $5.90 | |||||||||||||||||||| | ||
| Total: | ||||
( ) I have ordered before. My Account number is: ____________
( ) I am a first time customer. Please give me an account number.
| Name: | |
| Address: | |
Payment Method:
( ) American Express ( ) MasterCard
( ) Visa ( ) Access
( ) EuroCard
( ) Check Enclosed ( ) Bank Draft / Money Order
enclosed
| Card Number: | Expiration Date: | ||
| Signature: | |||
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to Available Stamps List |
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