Order form

ITALIAN KITS MAIL ORDER
P.O.Box 115 - 20092 Cinisello B.(MI) Italy - Fax: +39 02 61290775 - e-mail: info@italiankits.it

ORDER FORM (All data marked with * are compulsory)

Name*____________________________________________Customer Nr:_________
Address*________________________________________________________________
City*___________________________________________________________________
Post code/Zip*_____________Country*____________________________________
Tel.*_________________Fax._________________e-mail*_______________________
Credit Card:VISA__Mastercard__Holder's Name*____________________________
Number*_______/_______/_______/_______;Exp.date*____/____;CVV2 security nr*______
Do you want missing items in back order? Yes___ No___ Signature___________

~ Please list quantity, code, description and price - MINIMUM ORDER € 35,00. ~

Quantity Code Description Price
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N.B.: Your informations will be used only to send your orders and to debit your credit cards, thank you.
How to Order

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