ORDER FORM |
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| NAME and first name: | |||||
| Complete address and postal code: |
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| Telephone : | E-mail : | ||||
| I wish to order: | |||||
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Unit price
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Total price
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I am sending, to the order of the
Amis du Centre du XXe Siècle CCP Marseille 5 375 36 T |
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RIP : Établissement 20041 |
Counter 01008 |
Account N° 0537536T029 |
Clé 86 |
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by chèque / CCP / money order /
the sum of: ............................................................. DADART - CENTRE DU XXe SIECLE 42, chemin du Collet des Fourniers Saint Roman de Bellet - 06200 NICE or
send an e-mail to listing which books you require and giving your complete delivery address. |
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