BOUTIQUE

  Version française

ORDER FORM

Quantity

Article #

Type

Size
(Quantity)

Price
Swiss Francs CHF
(US $)* Indicative price

Amount CHF
(in Swiss Francs)
  POLOS        

POLO "SAM"
# 980001

White

M L XL XXL

 CHF  45.00
 (US $ 30.00)*

POLO "SAM"
# 980002

Blue

S M L XL

 CHF  45.00
 (US $ 30.00)*

POLO "SAM"
# 980003

Red

S M L XL XXL

 CHF  45.00
 (US $ 30.00)*

POLO "SAM"
# 980004

Yellow

M L XL

 CHF  45.00
 (US $ 30.00)*

POLO "SAM"
# 980005

Apricot

M L XL

 CHF  45.00
 (US $ 30.00)*

  SWEAT-SHIRTS (ENFANTS)      

Sweat-shirt "LUGANO"
# 980010

Red

10 12

 CHF  40.00
 (US $ 26.67)*

Sweat-shirt "LUGANO"
# 980011

White

10 12

 CHF  40.00
 (US $ 26.67)*

  SHIRTS        

Shirts "PHIL"
# 980021

Blue

M L XL

 CHF  60.00
 (US $ 40.00)*

Shirts "PHIL"
# 980022

Red

M L XL

 CHF  60.00
 (US $ 40.00)*

Shirts "PHIL"
# 980023

White

M L XL

 CHF  60.00
 (US $ 40.00)*

  CAPS        

Cap "SUNNY"
# 980031

Blue

   CHF  15.00
 (US $ 10.00)*

Cap "SUNNY"
# 980032

Red

   CHF  15.00
 (US $ 10.00)*

Cap "SUNNY"
# 980032

Clementine

   CHF  15.00
 (US $ 10.00)*

  Brief-case        

Soft bag
# 980090

Black

   CHF  20.00
 (US $ 13.33)*

  PIN's        

F.I.C.S. PINS
# 980100

"QUADRI"

   CHF  1.50
 (US $ 1.00)*

F.I.C.S. PINS
# 980101

"SILVER"

   CHF  2.50
 (US $ 1.67)*

F.I.C.S. PINS
# 980102

"GOLD"

   CHF  2.50
 (US $ 1.67)*

  STICKERS        

F.I.C.S. Sticker # 980110

"Transparent"

   CHF  7.50
 (US $ 5.00)*

        Frais d'emballage  
        Frais de port  
        TOTAL  

 

PAYEMENT MODE - CREDIT CARDS

All fields are required.

LASTNAME First name
Address CITY, ZIP code
Phone # Country
FAX #    
       

 

Credit Card Authorization Form

All fields are required.


FULL NAME:                          
Address must match credit card billing address.
BILLING STREET ADDRESS: 
CITY, STATE, ZIP:                 
TELEPHONE NUMBER:           

E-mail address must be exact to avoid any delays. 
E-MAIL ADDRESS  :              


TOTAL:

Card Holder Information Make sure that the"name field" contains your name as it apears on your credit card.

 


     NAME on Card: 
     Card Number: 

Exp. Date(MM/YY):   /

 

Your remarks and proposals

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+41 (21) 617-3016

Last update: 06/15/99