CAPAX in EnglishCAPAX in French

 

CAPAX, taxes and carriage included :

60 euros for Europe
61 euros for USA/Canada

To order by a letter :

Send this oder form to :
A.M.I. 3, rue de Péruwelz
91550 PARAY-VIEILLE-POSTE FRANCE
- With creditcard informations or :

- with a bank cheque to A.M.I.:
 - Cheque in Euro currency: ........no taxes
- Cheque out Eurozone : . 25 Euros taxes

Please fill this form, print it and send it with your cheque or credit card informations
Last name*
First name *
N° St/Av/Bd*
Bloc/flat
City*
Zip-Code*

State (USA)
Province (Can)
Contry*
Phone
Fax
e-mail
Cr card Number
cryptogramme
( 3 last number on the back of creditcard.*
Expiration date
Owner name

*Required fields

Sign here*