You can order Dutch fabric/kit by filling in this form and pushing the submit/place order-button Payment by cred. card no. + exp.date (VISA-EUROMASTER-AMEX). Within Europe also Eurocheck (by letter). Name: .............................................................................................. Address: .............................................................................................. City: .............................................................................................. State: .............................................................................................. Postal code: .............................................................................................. Country: .............................................................................................. Telephone number: .............................................................................................. Telefax: .............................................................................................. E-mail address: .............................................................................................. Payment Method: VISA MasterCard Amex Card no.: .............................................................................................. Exp. Date: .............................................................................................. I want to order: Article no.: Description[quantity,color,etc.]: Price: ...........................   ....................................................   .................   ...........................   ....................................................   .................   ...........................   ....................................................   .................   ...........................   ....................................................   .................   ...........................   ....................................................   .................   Your order will be sent after payment !

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