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Price List
Price per unit	Quantity	Total
1.75	200	350

1.50	400	600

1.05	1000	1050

	First Name		State
	Last Name		Country
	Address		Zip / Postal Code
			Mobile
	City		Email

	Order Summary	Payment Options
	Amount...................................... VAT / Cost.................................. 5% ...................................................................... Total Amount to be paid...........	Pay by Credit / Debit Card Check out using Cheque / DD / Bank Transfer