ORDER FORM

To order please fill in the following form. Your details will be sent with a secure line,
you can be sure, that no third person has access to the information you give to us!
Billing address: Information must match credit card billing
Name:*
Address:*
 
City:*
State/
Province:*
Zip code:*
Country:*
E-mail:*
Phone:*
Shipping address: If it is different from the billing address
Name:
Address:
 
City:
State/
Province:
Zip code:
Country:
E-mail:
Phone:
Credit card information (by phone or fax 0039-041-5228525):
Mastercard
Visa
American express, Diners, JCB
Credit card #:
Expiration Date MM/YY:
Item or Artist name:
Code: Qu.: Unit cost: Price in EURO (€):
Total:
* I authorize V&A s.n.c. to charge my Credit card for the amount of EURO (€)

Your comments, special instructions:
Order Terms and Conditions: All orders will be confirmed by e-mail. We offer full refund of the paid price minus shipping expenses when the acquired item is not according to our description and when the item is shipped back by Express Air parcel service within 7 days of receivement with full insurance made out in your name and in the same conditions it was when bought. Refund will be issued within 7 working days of receivement of returned item. Please read all terms and conditions on our Information page!
I AGREE TO ALL TERMS AND CONDITIONS
*
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