Fill out and print this form and send it to us by fax or mail for credit card payment. Customer information
address zip code city state/country
phone number fax number
Credit Card : Visa Mastercard Eurocard CartaSi
credit card n° name on card exp. date
address for credit card
signature ________________________________________
The price of each single CD is Lit. 30.000 (c.US$ 16) postal fees included only for Italy.
Minimum order is 2 CDs. Please contact us by fax or e-mail for other forms of payment or further information.