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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
Black Box FMT923-R2 GIGABASE2 CAT5E Jack, Universal Wiring × 1	40.00 AED
Black Box FMTP6AS-200PAK CAT6A RJ45 Mod Plug Shielded 200 Pak × 1	530.00 AED
Subtotal	570.00 AED
Shipping Standard: 200.00 AED
Tax	28.50 AED
Total	798.50 AED

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Bank Transfer Payable To ‘Seven Systems FZ-LLC’
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Please send a check to Store Name, Store Street, Store Town, Store State / County, Store Postcode.

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