Order FormPage  (outside Germany)

Please fill in this form, print it out and send it by fax or mail to ...

MYORCHIDS
Dr. Heinrich Beyrle

Lindenmahdstr.19
86382 Stadtbergen
GERMANY

Name:

Address:

Tel:

Facsimile:

Email:

Method of Payment (please tick relevant box): Payment in advance by ... PayPal     heinrich.beyrle@t-online.de

MasterCard/Eurocard No.:          Expiry Date: 

Visa/Diners Club No.:          Expiry Date: 

JCB No.:          Expiry Date: 

Giro transfer to Dr. Heinrich Beyrle, Commerzbank, , IBAN   DE51 7204 0046 0122 2322 00

Ref. No.

Plant Name (optional)

number of plants

Unit Price €

Price Total €

Thank you very much for your order!  

Your order will be sent after receipt of payment. Shipment will be during  June to   October.

Subtotal, Order Value (min. € 20,00)

Less 7 % VAT (only outside E.C.)

Plus charges for postage & packing      8 €

 

 

Grand Total

 

Tel: 0821 - 2196906 / Fax 0 821 -2196183
International Tel: ++ 49
- 821 - 2196906
International Fax: ++ 49
- 821 - 2196183

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