Order form pictures

Please fill out all required fields

Mr/Mrs

Family name

E-mail

To order from our pictures collections:

You only have to state the order number of the pictures and the price of the pictures. If you order a serie you state the number of the serie and the total price of it.
1st choise

2nd choise

3rd choise

4th choise

5th choise

Payment information

Please add the following P and P costs to total. Netherlands Eur 6,50 Europe Eur 7,- outside Europe 7,50.
Shipment information

All orders will be shipped in plain packing by registered mail.
Name

Address

ZIP

City

Country

Payment information


	by transfer to our bank account 10.65.65.672
	RABO Bank Amsterdam, payable to J.C. Creations. IBAN: NL56 RABO 0106 5656 72 BIC: RABONL2U
	by transfer to our postbank account 7369380
	Postbank Amsterdam, 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