Order form
 

	This order form is not a Web form with fields to fill in and to send by the Internet.  You may copy it, or save it with your browser and print it, then send it to us by post or fax (tick the mode of payment you wish to use).   If you feel unsure, you are welcome to ask for a pro-forma invoice which will give you complete indications.

Please send back to :
 
Editions Musicales Chanvrelin
Boite 37
23 rue du Départ
F 75014 PARIS (France)
Fax  (+33) (0)1 43 26 72 72
 
q Ms
q Mr
 
Name : ......................................
First name : ...............................
Address : ...................................
City / Postal code : ......................
Country : ...................................
 
If you wish to be informed about how your order is followed through :
E-mail : ....................................
 
Do you wish to be informed by e-mail (at the above address) when a new volume is issued ?
q Yes
q No
 
(Short e-mail, in text format, with no joined file (no virus).  You may ask for your name to be deleted from our list at any time on simple request, see our Privacy Statement)
 
 

Title	Qty	Item price	Total price

 

Total
Post & package : European Union and Switzerland, except Italy = Euros 6.50 Other countries = Euros 13.-
Total of the order

q Enclosed payment in Euros by check drawn against a French bank, or postal money transfer order (PostCash).
    Cash is not allowed.
 
q Payment in Euros by VISA Card, Eurocard or Mastercard :
   - Card Number =   _ _ _ _  _ _ _ _  _ _ _ _  _ _ _ _
   - Security number (card verso) =   _ _ _
   - Expiry date =   _ _  _ _
 
q Enclosed payment in Euros by direct transfer to our bank account
   (please contact us first)
 
q Cash-on-delivery (postal taxes added to the invoice, subject to opportunity with your country).
 
Date : .......
Signature : .......
 
 

 --- End of order form