Order sheet

ORDER SHEET

You simply have to fill in this sheet, print it out, and send it with your credit card number (Visa, EuroCard, MasterCard).

Either by fax +33 1 34 76 57 09.

Or by post, see address on the right :

EDITION PHILIPPE CAILLARD
5 bis rue du Château Fondu
F-78200 FONTENAY MAUVOISIN
FRANCE

Last name: First name: Client Numb.:

Address:

Zip code: City/Town:

Country: Chorale name :

Phone number: Fax number:

E-mail: Date: 2000

Reference	Author - Selected chores	Qty	Unit price	Total price








	Delivery charges in France....... Less than 250.00 FF		25.00 FF	*****
	.................................................... Less than 600.00 FF		35.00 FF	*****
	..................................................... More than 600.00 FF		50.00 FF	*****
Any checks should be addressed to "Edition Philippe Caillard"		Delivery charges =
		TOTAL PRICE =

Credit card number : _ . _ . _ . _ / _ . _ . _ . _ / _ . _ . _ . _ / _ . _ . _ . _ Expiry : _. _ /_. _ Signature:

MESSAGE:

Last update : 11-01-2000