DALTAÍ ORDER FORM
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Name________________________
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Address_______________________________
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City_________________________
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State________________ Zip____________
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Phone: ( )___________________
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E-Mail: _______________________________
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| ITEM | DESCRIPTION | UNIT PRICE | QUANTITY | TOTAL |
| Learning Irish | Book and Tapes | $52.00 | X ______ = | $ |
| Buntús Cainte | Book & Compact Disk | $21.00 | X ______ = | $ |
| Teach Yourself Irish | Book & Compact Disk | $30.00 | X ______ = | $ |
| Foclóir Póca | Dictionary | $17.00 | X ______ = | $ |
| Enough Irish to Get By | Booklet & CD | $17.00 | X ______ = | $ |
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| | BOOKS & | TAPES | TOTAL = | $ ________ |
| ITEM | COLOR | SIZE (Circle) | UNIT PRICE | QUANTITY | TOTAL |
| Long Sleeve T-Shirt | Forest Green | S--M--L--XL | $17.00 | X ______ = | $ |
| Long Sleeve T-Shirt | Forest Green | -XXL- | $17.00 | X ______ = | $ |
| Long Sleeve T-Shirt | Natural | S--M--L--XL | $17.00 | X ______ = | $ |
| Long Sleeve T-Shirt | Natural | -XXL- | $17.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Forest Green | S--M--L--XL | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Forest Green | -XXL- | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Yellow Haze | S--M--L--XL | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Yellow Haze | -XXL- | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Burgundy | S--M--L--XL | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Burgundy | -XXL- | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Dusty Green | S--M--L--XL | $14.00 | X ______ = | $ |
| Short Sleeve T-Shirt | Dusty Green | -XXL- | $14.00 | X ______ = | $ |
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| | | | CLOTHING | TOTAL = | $ ________ |
ACCESSORIES |
| We are sorry, but Accessories are NOT AVAILABLE for sale in New Jersey. All other items are. |
| ITEM | | UNIT PRICE | QUANTITY | TOTAL |
| Canvas Bag | | $12.00 | X ______ = | $ |
| Key Ring / Pendant | | $10.00 | X ______ = | $ |
| Water Bottle | | $5.00 | X ______ = | $ |
| Mouse Pad | | $6.00 | X ______ = | $ |
| Bumper Sticker | | $2.00 | X ______ = | $ |
| Refrigerator Magnet | | $2.00 | X ______ = | $ |
| PRINTS | CHOICE (Circle) | | | |
| - Laminated | A--B--C--D--E--F | $6.00 | X ______ = | $ |
| - For Framing | A--B--C--D--E--F | $8.00 | X ______ = | $ |
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| | | ACCESSORIES | TOTAL = | $ ________ |
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| | | | GRAND | TOTAL = | $ ________ |
To place an order, please print out this Order Form.
Mail the completed Order Form, along with your
check or money order payable to Daltaí na Gaeilge, to:
Daltaí na Gaeilge
279 Park Avenue
Elberon, NJ 07740
Prices include U.S. shipping and handling.
For delivery out of the U.S. please send us an
e-mail for a price quote through the link below.
Sorry, but we cannot accept credit cards.
Please allow 4 to 6 weeks for delivery.
Specialty items or questions? E-mail:
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