February 19th, 2010 - Online Edition
Belgian & European Order Form
ATTENTION:
For
Belgian and European bank transfer orders only
.
All credit Card payments can be done one the
main page
. For orders from other countries,
click here
.
Fill out the blank fields in the order form below and hit
"Send order form now".
On the same day, transfer the correct amount to our bankaccount.
For Belgium
:
KBC Bank # 733-015 39 04-92
of Magic Mask vzw, 1000 Brussel
For states of the European Union
:
Make sure you apply the free money transfer
using the following international account numbers:
IBAN # BE12 7330 1539 0492
BIC # KREDBEBB
(SWIFT number)
of Magic Mask vzw, A. Dansaertstr. 113, 1000 Brussels, Belgium
Mention your name, address and exact order on your transfer as well.
First & Last Name:
Address & Nr:
Postal Code:
Town:
Phone Number:
Email:
Check the desired boxes and enter the number
of CD's or posters you would like to order.
CD'S:
Living Room
Quantity:
x 15.00 EUR
Urban Gipsy
Quantity:
x 18.00 EUR
Stoned Love 1
Quantity:
x 15.00 EUR
Disposable Society
Quantity:
x 15.00 EUR
Posters
Living Room Tour
Quantity:
x 10.00 EUR
Urban Gipsy
Quantity:
x 10.00 EUR
Comments:
Prices include shipping and handling.
Limited offers - as long as supply lasts.
Once we receive your payment, we'll send out the order
© Magic Mask - Web Design 2001-2010