C.G. Rodliffe
21a Yattenden Road, St Heliers, Auckland 1005, New Zealand

Please enter your details and send this form with your cheque to the above address.
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Please send me signed copies of the following:
ITEM COPIES COST
"Richard Pearse - Pioneer Aviator"
2003 Centennial Edition 		___ @ UK£8.95 each UK£......
"Flight over Waitohi" ___ @ UK£5.95 each UK£......
"Oh, for the Wings of a Moth" ___ @ UK£5.95 each UK£......

NB All prices include postage & packing.

You may pay in dollars using the following conversion rates:
UK£1 = Euro$1.50, AUS$2.50, CAN$2.50, NZ$2.90, US$1.85

I enclose my cheque payable to 'C.G. Rodliffe' for ......................