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Promotional Item Order Form

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Item Selection
DescriptionSelectionQtyTotal
Cap:
Color:*
Black White Red Yellow 
License Plate
T-shirt
Color:*
Black White Red Yellow 
Jacket
Mug
Lnu'k: Honour Our Ancestors Book
Kitpu Flag
Sub-Total:
Shipping & Handling:
Grand Total:
Billing Information
First Name:*Same name as on your card
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:Apt. or Suite No.
City:*
Province:*
Postal Code:*
Phone:
Shipping Information
Same as billing info*
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First Name:*
Middle Initial:
Last Name:*
Address Line 1:*
Address Line 2:
City:*
Province:*
Postal Code:*
Payment Information
Payment Type*
Credit Card PayPal Email Transfer 
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