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To  Clan Maitland
     150 Tachbrook Street
     London SW1V 2NE  
     United Kingdom
 Please supply me with

Orders over £35, US$65, Aus$90, C$85, NZ$100, Euro53 - we give you a Mouse Mat.

Please make out cheques to Clan Maitland in Sterling, US$ Aus$, Can$, NZ$

Send goods to  (BLOCK LETTERS, PLEASE)

Name_________________________________

Address_______________________________________________________

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Post Code/ZIP______________Country______________________________

To deal with queries, can you provide:

Phone number____________________________ E-mail address__________________________________