| < B A C K |
|
Please print this form
on your workstation printer*, complete it, and send or fax it to us. We
will be pleased to fulfil your request as soon as possible. When you happen
to be in Zurich, please visit us at our bookstore at Kirchgasse 28.
* For Netscape Users: Before
printing choose >File in the
Netscape Menu Bar, >Page Setup,
and choose black text and white background.
To: Buch- und Grafik-Antiquariat Fax: +41-(0)1 261 62 02 Falk + Falk Kirchgasse 28 CH-8001 Zürich Switzerland
Name: __________________________
First Name: __________________________ Creditcard: ______________________
Street: __________________________ Card Number: ______________________
ZIP, City: __________________________ Exp. Date: ______________________
Country: __________________________ Signature: ______________________
Phone: __________________________
Fax: __________________________
E-Mail: __________________________
item # title price
__________ ______________________________________________________ ________
__________ ______________________________________________________ ________
__________ ______________________________________________________ ________
__________ ______________________________________________________ ________
__________ ______________________________________________________ ________
__________ ______________________________________________________ ________