Slovak Cultural and Information Centre

                              ORDER FORM
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	ADDRESS INFORMATION
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	Your Name:  _____________________________________________


	Address:    _____________________________________________

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	ORDER INFORMATION
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	I would like to order the following item(s):

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	|_|   "The Ambassadors of Culture" Video
		ONLY $ 24.95 US each (English version only)
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	|_|   "The Ambassadors of Culture Video Release & Gala Presentation" Video
		ONLY $ 19.95 US each (English version only)	
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	|_|   75th Anniversary of Slovak Folklore in Canada Book
		ONLY $ 24.95 US each (English version only)



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	SHIPPING INFORMATION
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		in Canada add $5.50 per item for Regular mail
		in United States add $8.50 per item for Regular mail

	Please allow 4-6 weeks for delivery.



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	MAILING INFORMATION
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	Make cheque or money order payable to:
			"Slovak Cultural and Information Centre"

	Mail Order to:	Slovak Cultural and Information Centre, 
	-------------	12 Birch Avenue, Toronto, Ontario   M4V 1C8

	Fax to: 	416-925-0009
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