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TO ORDER: Please
print and fill out this form and fax the order to FAX:00351
289 703 269 Monday to Saturday, 10:00am- 6:00pm
BILLING NAME AND ADDRESS:
| Name: |
| Address: |
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| Daytime phone: |
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| E-mail address: | |
SHIPPING ADDRESS: If different than billing address
| Name: |
| Address: |
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| City: |
| State: |
Zip: |
| Daytime phone: |
| Fax number: |
| E-mail address: | |
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Credit Card Type ____________ Card Number____________________________ Exp Date___________________
Name On Card________________________________ Signature ____________________________
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KAYAKS PRICE
HOBIE MIRAGE SPORT £950
HOBIE MIRAGE OUTBACK £1,250
HOBIE MIRAGE ADVENTURE £ 1,350
HOBIE MIRAGE TANDEM £1,550
HOBIE MIRAGE OUTFITTER £1,550
HOBIE MIRARGE ISLAND £2900

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