9 pins + free maxi pin with the free book (more expensive shipping) this way >>>

• Delivery Address

Company.........................................................................................................................................................

First and Last names....................................................................................................................................

VAT number (required for EU companies)................................................................................................

Address (no PO Box)......................................................................................................................................

...........................................................................................................................................................................

Zip Code..........................State..........................................City.......................................................................

Country..............................................................................................................................................................

Tel. (required).........................................................................
Fax ...........................................................................................

E-mail .......................................................................................

Full payment of Euros …………..to be paid upon ordering

• Check payable to "Musée L'Organe"
• bank transfer (please contact us)
• credit card: VISA / CB / EUROCARD / MASTERCARD / DINERS / AMEX
  
  card #:: ………………...…… Expires: .…../……security code (last 3 digits): …………
  
  In:………………………….. On: ………. / ……….. / …………..

Signature and stamp:

Please print, fill in and sign the order form and return with your payment to:
Postal address:
Musée l’Organe – Demeure du Chaos - BP 69 - 69270 Saint Romain au Mont d’or - France
Fax: +33 478 22 06 06 - Call for information: +33 472 42 17 42.