PINHOLE GLASSES ORDER FORM

Note: Please use correct prices, $29 for traditional, $49 for modern models.
Model Name Unit Price Quantity Total
      $
      $
      $
      $
Total.
Postage to countries outside the US. Add $12 to cover the outrageous postal rates. $
Net $

Shipping Information.
Enter a telephone number and/or email address in case of a question about your order.
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Date:

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