order 2 betalen 2011

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BIZARRE DESIGN
Tussen de Bogen 35
1013 JB Amsterdam
Tel/fax 020 6276844
jvanderklis@chello.nl
www.bizarredesign.nl
HOW TO PAY THE ORDER
TOTAL IN ADVANCE :
I have enclosed as payment in full :
cash total € :
Bank transfer € :
WITH AN INITIAL PAYMENT :
I enclose +/- 10% of the order :
cash total € :
Bank transfer € :
I pay the rest when the order is ready :
cash total € :
Bank transfer € :
( Bizarre Design will send you the bill, and the order is send to you when the payment is received )
BANK INFO :
ABN AMRO Bank
tel. nr. : 0900 0024
Postbus 6382
1005 EJ Amsterdam
Holland
acc. nr. : 406092419
BIC
: ABNA NL 2A
IBAN : NL 70 ABNA 0406092419
WITH CREDIT CARDS :
I pay with my credit card.
Total € :
Which card ?
American express :
Visa card :
Account nr. :
Expiration date :
Extra security code : (digits on the signature strip)
Address of registration :
Signature :
( the payment is charged to your card when the order is almost ready.)
Master- /Euro card :
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