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Your basket
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Order form
French version
dried flowers
ORDER FORM
Billing address : ( have to be filled in * are compulsory )
Name *
Fisrt name *
Company
Adress 1 *
Adress 2
Zip code *
City *
Country *
Tel : *
Fax
Your email : *
Delivery address if different from above.
Name *
First name *
Company
Adress 1 *
Adress 2
Zip code *
City *
Country *
Tel *
Fax
Your email *
To attach an e-mail to your order
......
Secure payment by credit card.
The Boutique encodes your credit card number....
Your order will go through your e-mail
WRITE YOU CREDIT CARD NUMBER
Type
Visa
EuroCard/MasterCard
Carte Bleue
Number
Expiry date (MMYY)
1 ) Encode your credit card number ( COMPULSORY )
2 ) Send your order
Le jardin de Marie
29 Rue Georges Clémenceau
83 990 SAINT TROPEZ - France
Tél / Fax : 04 94 54 82 51
Référencé sur
www.fleursduweb.com
et sur
www.webootik.com
- Copyright 2001
www.mwi.fr