Fixtures & Results

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'Kiltubrid' Order Form

Kathleen Doyle
Drumcong
Carrick-on-Shannon
Co. Leitrim
Ireland

I wish to order ____ copie(s) of 'Kiltubrid'.

Quantity	Cost	Total

_____	€ 10 each	€_____

+ p&p	€ 7 each	€_____

		€__________

Delivery Details

Name:	_____________________

Address:	_____________________
	_____________________
	_____________________
	_____________________
	_____________________

Phone:	________________


Signature:	_____________________
Date:	______________

Payment by Cheque, Postal Order, Bank Draft

Please print this form and send by post with your subscription

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