Book order sheet for creditcard

Your address

 Name: *  
 Title: *  
 Company: *  
 E-mail: *

 

 URL:  
 Address: *  
 Phone: *  
 Fax:  

Your equipment

 Embroidery  machine  type: *  
 Yarn: *  
 Disk format: *  

* Your Order

Book 1 Book 11 Book 21 Book 31 Book 41
Book 2 Book 12 Book 22 Book 32 Book 42
Book 3 Book 13 Book 23 Book 33 Book 43
Book 4 Book 14 Book 24 Book 34 Book 44
Book 5 Book 15 Book 25 Book 35 Book 45
Book 6 Book 16 Book 26 Book 36 Book 46
Book 7 Book 17 Book 27 Book 37 Book 47
Book 8 Book 18 Book 28 Book 38 Book 48
Book 9 Book 19 Book 29 Book 39 Book 49
Book 10 Book 20 Book 30 Book 40 Book 50

About prices and delivery conditions

Comments and questions

 Any  comments/Questions:

* Payment

*Date:      Price: US$

Payment agreement
Credit-Card

  I'll pay by credit-card
(Please type your credit-card number completely and
without spaces: Example 1234567890)
credit-card: credit-card number: expiration date:
month:		 year:

I am aware about the prices and delivery conditions.
Your personal informations and your credit-card number will be sent encoded and will be kept secret.

Remark:
This page is displayed in a frame with several windows. That's why the browser unfortunately doesn't show the safe connection. In spite of this your data will be converted into a 128Bit secure code for the transfer. The name of our SecureServer is www.ria.ch

Thank you for your trust.

The indications marked with * are required obligatory.