ORDER FORM

Please print out this order form, complete and forward by post to:
Luk Vanduffel bvba - Sint-Katelijnevest 34 - 2000 Antwerpen - Belgium
or by fax to: in Belgium: 03-233.89.70 - from other countries: +32.3.233.89.70
[ We also accept orders by e-mail: Luk Vanduffel ]

 
I would like to order
Description Quantity Unit
price
Total
price
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Postage costs*: Belgium: 5 EUR - Europe: 7,50 EUR - Worldwide: 10 EUR
 
TOTAL (in EUR)
 

 
Personal data
Name:
 
Address:
 
Postal code/ZIP:
 
Residence:
 
State:
 
Country:
 
Telephone number:
 
E-mail:
 

 
Payment
Payment by VISA or MASTERCARD. For Belgium and the Netherlands it is also possible to transfer the amount to our bank account (with reference: internet order):
- Belgium: KBC:  BE68 4098 5692 6134
- Netherlands: ABN Amro (Roosendaal):  NL46ABN0497494787
Goods will be shipped after reception of payment.
Payment by:
 
Date:
 
Credit card type:
 
Signature:
 
Name on card:
 
Card number:
Card security code:
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Expiry date: _ _ / _ _ _ _

* Postage costs for "philatelic accessories" depend on weight and destination (country).