M.E.D. - Order form

M e r c h a n d i s i n g F o r m

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TO ORDER
12 euros / CD	Album "UNTOLD WORLD"	Quantity
15 eur / T-shirt	T-Shirt M.E.D. "UNTOLD WORLD" (black)	Size "S"	Quantity
		Size "M"	Quantity
		Size "L"	Quantity
		Size "XL"	Quantity
8 eur / unit	Key holder "Mono Electronic density" (black)	Quantity
7 eur / unit	Cotton Strip "Mono Electronic density" (black)	Quantity
2 eur / unit	Badge "Mono Electronic density" (black)	Quantity
		TOTAL :

PERSONAL DATA
Name *()**
Firstname *()**
Street / N° *()**	-
Zip code / City *()**	-
Country *()**
E-Mail *()**
*() MANDATORY FIELD Here you'll find any items, clothes, goodies we sell. How to order ?** 1. Enter the quantity for each item you want to order. For the T-Shirt you have also to choose the size. 2. You have to complete your location information. 3. Check again all your information about your order and when it's done, just click on "submit order". 4. You'll get quickly a confirmation e-mail, including the total cost & shipping price. When the money transaction will be done, your order will be sent within 15 days (this delay may vary for far foreign countries). Thanks for support. Mono Electronic Density