Cd-rom "Bound to Auschwitz" order form

 

Print, fill out the form and send it by fax or mail to the publisher: Proedi Srl - Via E. Biondi, 1 - 20154 Milano - Italy - Fax ++39-2-33107015


Yes, I would like to be one of the first to receive, at the address indicated below, n° of copies of BOUND TO AUSCHWITZ (two CD-Roms + book), at the special price of US$ 85.00 per copy.
I will pay the due amount with:

with a non-negotiable check made out to:Proedi Srl. (Print this page and send it with the check to Proedi Srl, via Ezio Biondi, 1 - 20154 Milano - ITALY).

with my Credit Card (choose one):

Card Number
Expiry date (yy/mm)
Cardholder's first name
Last name
Date of birth* (mm/dd/yy)

Signature* ........................................

*required for credit-card billing

Please send me the product ordered as soon as it becomes available via priority mail to the address indicated below. If Im not fully satisfied with the product, I can return it within 15 days of the purchase and will be fully refunded.


First Name Last Name
Date of birth (mm/dd/yy)
Address City
State Zip Code
Company Name
Phone Fax
E-mail


 

For further information please contact PROEDI Srl
Via Ezio Biondi, 1 - 20154 Milan, Italy
Phone +39 02349951 - Fax  +39 0233107015
gruppo@proedi.it