ORDER FORM

Your order will be sent by e-mail to Musée des manufactures de Dentelles de RETOURNAC.
(The items with (*) must be filled in).

(You can also get and print a paper order form).

Name & First name 

 *

Address 

*
 *

Country 

 E-mail Address 

 *

Order the set(s) n° : 

 *

For a total amount of : 

 (Set(s) + sending charge in FF)

Tariffs       

I wish to give these(s) set(s) to : 

Name, first name and address 

We undertake to join free of charge to this gift a card mentioning your name.
   

I pay by : 

 Bank card
 

Visa   Eurocard   Mastercard   American Express
                              Card n°
                       Expiry date:
 Holder name and first name
  Cheque (en FF ou € to France) to "Amis du Musée de Retournac"
  Western Union
  International Postal Order to the postal account n°3775 27 M CLERMONT
  International interbank crédit transfert in FF to the postal count
      n°FR31 20041 01003 0377527M024 46 31

Possible observations


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