ORDERFORM TAILLE FORMERS - SUNDRIES
Please fill out all required fields




Mr/Mrs
 
Family name
 
E-mail
 
To order a taille former

By ordering a taille former of Eur 15,95 please give your size and desired colour (camel or black)


Desired size


   small/medium
 
   Large/extralarge
 
Quantity
 
Desired colour
 
Second selection


Desired size
 
Quantity
 
Desired colour
 
To order a Tanktop

By ordering a Tanktop of Eur 19,95 please give your size and desired colour (camel or black)


Desired size


   small
 
   medium
 
   large
 
Desired colour
 
Quantity
 
Second selection


Desired size
 
Desired colour
 
Quantity
 
Sundries

Nipple covers, push ups. Invisible string.


Desired item
 
Quantity
 
Desired item
 
Quantity
 
Payment information

Please add the following P and P costs to the grand-total. Netherlands Eur 7,95, Europe Eur 13,-, outside Europe Eur 23,-.


Shipment information:


Name
 
Address
 
Zip
 
City
 
Country
 
Payment information


   by transfer to our bank acoount 10.65.65.672
 
payable to J.C. Creations. IBAN: NL56 RABO 0106 5656 72 BIC: RABONL2U


   by transfer to our postbank account 73.69.380
 
payable to J.C. Creations. IBAN: NL34 PSTB 0007 3693 80. BIC: PSTBNL21


   Creditcard
 
We accept VISA and Mastercard


Creditcard information


VISA or Mastercard
 
Name as mentioned on the card
 
Number
 
CVC Code
 
Expiry date
 
You can send this form by clicking on the button "Send". Or you can print the form and send it to us by fax or post.

Our address: J.C. Creations, p.o.Box 2195, 1000 CD Amsterdam. The Netherlands. Our faxnumber: 0031-(0)20-4197222.



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