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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)
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Fire Safety / Motufoua Fire Victims |
Form 2001-C02 | |||
| Description | Value | Qty Mint | Qty Used | Total Value |
| Set of 4: 60c, 90c, $1.50, $2.00 | $5.00 | |||
| Gutter Pairs | $10.00 | |||
| Blocks of 4 | $20.00 | |||
| Souvenir Sheet of 1: $3.00 | $3.00 | |||
| FDC (set) | $5.50 | |||||||||||||||||||| | ||
| FDC (gutter pairs) | $11.00 | |||||||||||||||||||| | ||
| FDC (blocks of 4) | $22.00 | |||||||||||||||||||| | ||
| Presentation Pack (set and S/S) | $8.00 | |||||||||||||||||||| | ||
| Total: | ||||
Note: Stamps depict fire trucks and Motufoua scenes in the background
( ) 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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