ORDER FORM

TCR Publisher
Altvägen 99, S-142 42 SKOGÅS, SWEDEN
Voice: +46.8.771 57 36
Fax #: +46.8.771 57 36
E-Mail TCR Publisher:
silvia_constantinescu@curierulromanesc.net

Ship To:

Phone #:

E-Mail:

Qty.	Item No.	Item Name	Price	Amount
	STCR9601	ALFRED NOBEL - Life, Work and Legacy

YOU MUST BE AT LEAST 18 YEARS OF AGE TO ORDER.
PLEASE SIGN BELOW CONFIRMING YOU ARE AT LEAST 18 YEARS OF AGE.
X ________________________________________
ID/Driver's License #: ________________________
Country/State: ______________________________
Birth Date (mm/dd/yy): _______________________

SEK = Swedish crown. USD = US dollar.
1 USD = ca 7.20 SEK (sell, Febr. 4th, 2007)

Sub-Total
VAT only for costumers from Sweden and EU, add 25% Tax
Shipping and Handling/pc Sweden add SEK 22.00 Europe add SEK 40.00 Outside Europe add SEK 50.00 Postförskott in Sweden, add (contact the post office) : For more than 2 pcs. contact us.
TOTAL

Method of Payment (check one):

[_] Swedish Check		[_] Postförskott (only costumers from Sweden)
[_] PayPal	[_] American Express

Card Number:	Expiration:
Card Holder's Signature: