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						| Name | 
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						| Street | 
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						| City | 
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						| State | 
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						| Country | 
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						| Zip | 
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						| URL | 
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						| E-mail | 
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						| Size of Ball 
									required | 
						 | 
					
					
						| Grade of 
									ball required | 
						 | 
					
					
						| Material of 
									Ball required | 
						 | 
					
					
						| Other 
									product, as required | 
						 | 
					
					
						| Quantity 
									required | 
						 | 
					
					
						| End use 
									(Optional) | 
						 | 
					
					
						| Give your 
									target price in US$/1000 
						 | 
						 | 
					
					
						| Wants sample 
									of Steel Balls? | 
						
								Yes      No | 
					
					
						| Your 
									additional coments, if any: | 
						
							
						 |