Offer order form, Il Girasole, Cortona, Tuscany, Italy

PLEASE NOTE All fields are to be filled !!

Full Name:

Street Address:

City, State, Zip, Country:

Phone:

E-mail:

Shipment:

UPS Express (2/3 days) UPS Expedited (5/6 days) UPS standard (Europe only)
Posta Celere (Italy only)

Payment Type

Payments via PayPAl

Offer of September and October:

code	description	quantity	Total €
1205	The Sphinx ring 18K gold

Comments:

Mailing list

YES NO

IF YOU'RE E-MAILING A PRE-ORDER DON'T SEND CREDIT CARD INFORMATION!!!

PLEASE NOTE
We accept payments via

If you want to use bank wire, please e-mail to Alessandra for informations.