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First Name

Last Name

Company Name (optional)

Country / Region United Kingdom (UK)

Street address

Apartment, suite, unit, etc. (optional) (optional)

Town / City

State / County (optional)

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Product	Subtotal
ROXI SOFA BED × 1	£439.99
Subtotal	£439.99
Shipping SHIPPING AND HANDLING CHARGES ( within M25 only): £30.00 COLLECTION FROM STORE: £5.00
Total	£469.99

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