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Company Name: *

Contact Name: *

E-mail: *

Address: *

Address line 2:

City: *

Province or State: *

Postal Code: *

Country: *

Telephone: *

Fax:

Buyer/Seller Designation: *

	Buyer
	Seller

Quantity (SME): *

Wool or Non-wool: *

	Wool
	Non-wool

Buy / Sell Price (CAD): *

Today's Date:

This offer to purchase or sell is valid until (i.e. August 27, 2005): *

I hereby acknowledge that this is not a binding agreement and further agree to have a Milgram representative contact me to discuss this request and the related terms, conditions and regulations.

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