ORDER FORM
1) WE TAKE: Please take a great care to write on this credit card order form the exact price corresponding to your area. TYPE OF CARD ___________________________________________ NAME ON CREDIT CARD______________________________________ CREDIT CARD #____________________________________________ ENDING DATE #____________________________________________ BILLING ADDRESS _________________________________________ CITY_____________________________________________________ STATE________________ZIP_________________________________
PHONE INCLUDE COUNTRY & AREA CODE________________________
FAX INCLUDE COUNTRY & AREA CODE__________________________
E-mail : ______________________
OPTION REGISTRATED MAIL (*) YES ... NO ....
If yes please add to your payment
the addtional sum of 24 French Francs
WE WILL BILL to your account:
Price from your country..................
Option registrated mail ................
________________
TOTAL :................
Reference number of the poster __________________________
Subject __________________________________________________
Signature _______________________ Date ________________ Image Odyssey Alain Guillou 25 rue des Fresches, 44410 Herbignacc France 2) Send the same above requested credit card information to the above address by mail. For more information call France : +33 06 14 83 93 18
INFORMATIONS : Within our Web pages we present most of our
images within a frame. Our goal is to better explain we
are proposing a high quality decoration item. But we are
not selling / bundling this frame as a package with our
images printed reproductions for the time being. We thank
you for your understanding. Please
notice our prices may change without prior warning due to
paper cost evolution |