ORDER FORM ART
Please fill out all required fields

You can use this form for asking more information or to order art.



Mr/Mrs
 
Family name
 
Telephone number
 
E-mail
 
To order from our art collection

Fill in the desired fields. As soon as we have received your message we will contact you.


Yes, I am interested in the following item:
 
Payment information

Shipment of paintings, other techniques will take place after further communication. See also are terms and conditions. You can find them at the bottom of this page.


Shipment instructions


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 73.69.380
 
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


Click here for Terms and conditions.


Order form C.D.s.