Photo Order Form

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The Society of Remisiers (Singapore)
22nd Anniversary Gala Dinner 2008

Photo Order Form:

Price of photos:

Qty 10 -29 = $4.00 per photo
Qty 30 -49 = $3.80 per photo
Qty 50 & above = $3.60 per photo

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photo gallery

Name:*:

Mobile No:*:

email:*:

Nos of Photos Ordered:*:

Total Amount:*:

Mode of Payment*:
By Cheque - payable to 'e1 Technologies'
ATM Transfer to UOB Currrent Account: 447-300-7120

=For Cheque Payment= Bank of Cheque used:

=For Cheque Payment= Cheque Number:

=For ATM Transfer Payment= Time & Date of Transfer (Please SMS later to 93859259 if this info is not available now):

=For ATM Transfer Payment= Transaction Number on the Transfer slip (Please SMS later to 93859259 if this info is not available now) :

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