To order a leather belt or corset chemises

Please fill out all required fields

Mr/Mrs

Family name

E-mail

To order a leather belt

By ordering a leather belt we need your natural waist size. The leather belt has a construction that it can reduce your waist with 15 cm.
Your natural waist size is:

To order a corset chemise

By ordering a corset chemise you have to deduct 10 cm from you natural waist size. The corset chemise has a height of 40 cm.
Desired size


	50 cm

	60 cm

	70 cm

	80 cm

Desired colour

Quantity
	Second selection
Desired size

Desired colour

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 account 10.65.65.672
	payable to J.C. Creations. IBAN: NL56 RABO 0106 5656 72. BIC: RABONL2U
	by transfer to our postbank account postigro 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 order by clicking on the button below "Send". Or print the form and send it by fax or by post.

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