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First name

Last name

Company name (optional)

Country / Region

Street address

Apartment, suite, unit, etc. (optional)

Town / City

State / County (optional)

Postcode / ZIP (optional)

Phone

Email address

Order notes (optional)

Product	Subtotal
LaCie STLR5000400 Mobile Drive Secure, 5 TB, Portable External Hard Drive × 1	680.00 AED
Western Digital WD2003FZEX Black 2 TB 3.5 SATA 64 MB Cache 7200 RPM Hard Drive × 1	475.00 AED
Subtotal	1,155.00 AED
Shipping Standard: 200.00 AED
Tax	57.75 AED
Total	1,412.75 AED

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Bank Transfer Payable To ‘Seven Systems FZ-LLC’
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