by fax to
 0049 30 822 98 73
Versand Kunst Handel Armin Wolter
Forststr. 23
12163 Berlin
Germany

Order

                    I order following objects:

Title Order No. Price
Total amount:

  plus shipping costs

Payment terms: Bank money order (other on request)

 

name*:
address*:
e-mail:
fax:
phone:
* required
further notification:

                  Please send your leaflet (in German) to me        

I have read the business conditions of the firm ORIENTAL ART Armin Wolter and appreciate.
Place: Date:
Signature: