Product

Model

Color

Prices

Quantity

TOTAL

INSTRUCTIONS:

Via Fax: Fill out this purchase order. 2. Print it and 3. Send it via fax to: + 34 956 46 11 08.

To order by e-mail follow these instructions;

Complete the form in this browser. On completion, copy and paste the form, into your e-mail and send to order@pielframa.com and your order will be processed in due course.

How to copy and paste; Complete the form in the browser. When you have finished filling in all the details. Select 'EDIT' at the top of your browser. Choose SELECT ALL. (or Ctrl+A). Then still in EDIT choose COPY (or Ctrl+C). Create a new e-mail and place the cursor inside the text area. Select EDIT in your e-mail and select PASTE (or Ctrl+V).
Send this to order@pielframa.com and your order will be processed in due course.

NAME:

DELIVERY ADDRESS:

CITY:

COUNTRY:

E-MAIL:

PHONE:

CREDIT CARD NUMBER:
Sorry! VISA and Master cards only.

EXP. DATE: (Month/year)

TODAY'S DATE: / / (day/month/year)

Signature: