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
Date of Issue: 16 August 1999

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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