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Get Ipswich Central State School Uniform Shop Order Form (eff:...

It 1 per child 16.50 16.50 16.50 25.00 28.00 40.00 12.00 15.00 8.00 40.00 10.00 10.00 13.00 8.00 10.00 1.00 AMOUNT ENCLOSED $ For payment by EFTPOS (Credit/Debit Card), I hereby authorise the school to debit my: Mastercard Visa Card Number: Expiry Date: / CONVENOR USE ONLY Signature: RECEIPT DELIVERED.

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