Order Form

ORDER FORM

As a bookseller, you are also welcome to order by email:

info[at]pluralshop[doc]eu

(Click here for more shipping information.)

 

Invoice and delivery address:

 

Name ____________________________________________________

 

Company ___________________________________________________

 

Street __________________________________________________

 

Postcode, City ________________________________________________

 

Country _________________________________

 

Phone no. (very important!) ______________________

 

Fax no. (if available) ______________________

 

Email address _____________________________________

(very important; please print in capital letters!)

 

 

 

Order:

 

                                                       

 ISBN         Quantity      Title                 Price in EURO  

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                                   Total ___________________

 

 

                                   Postage ____________________

 

 

                                       GRAND TOTAL _________________

 

Payment method:

 

 __Visa  __Eurocard   __Invoice

 

 

______________________________________________     __________

Credit Card Number (13-16 digits)                 Valid until 

 

 

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Signature