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ADDRESS
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| First Name:* |
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| Name:* |
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| Street + Number:* |
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| Zip or Postcode:* |
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| City:* |
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| Country:* |
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| E-mail:* |
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| Phone: |
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SHIPPING ADDRESS
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| Shipping adress as above: |
YES NO
if "NO "please give us the shipping adress in the next field ! |
different shipping adress:
Name, Firstname, Street, Streetnumber, Zip/postcode, City, Country |
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ORDER
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| Choose your item* |
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| Number of items:* |
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| Should the band personalize the DVD? |
YES NO
If "YES" fill out the next field! |
| Text for dedication or personalization: |
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PAYMENT
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| I pay via:* |
Pre-Payment
PAYPAL |
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| * = Required fields |
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By clicking on ”ORDER” you declare to fill in all specified data correctly. After entering you will be redirect to the transfer page with the Phonotraxx bank account data & the PAYPAL form. Once the money has been received on our bank account, we'll sent your order to your adress.
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