OBOECANE.COM PRINT/FAX ORDER FORM

Print and POST this Order Form to:

OboeCane.com, Grillparzerstr.56, 60320 Frankfurt, Germany.

Print and FAX this Order Form to:

FAX NUMBER : +49-(0)69-50068844

Personal Info & Billing Address :

Name: ____________________
Address 1: ____________________
Address 2: ____________________
City/Town: ____________________
County/State: ____________________
Post Code/Zip: ____________________
Country: ____________________
Tel: ____________________
Fax: ____________________
Email: ____________________

Shipping Address - if different :

Name: ____________________
Address 1: ____________________
Address 2: ____________________
City/Town: ____________________
County/State: ____________________
Post Code/Zip: ____________________
Country: ____________________

 
PAYMENT DETAILS
Card Type: _____________________________
Name on card: _____________________________
Card Number: _____________________________
Card Verification Number
(3 digits on reverse of card):		 __________
  Start Date: _____ /_____       Expiry Date: _____ /_____
Your Signature: _____________________________      Date: _____________

ORDER DETAILS

Instrument

Cane Type (gouged / gouged&shaped / tube / pre gouged)

Quantity

Price
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Subtotal  		 € ........................
  (See rates below)   Shipping   € ........................
  Germany & EU Residents Add 16%   € ........................
  Order Total   € ........................
 
DATE OF ORDER 		 ___ /___/___

Details of Shipping costs:
All cane pieces : Up to 70 pieces Up to 150 pieces Up to 450 pieces More than 450 pieces TUBE CANE
up to 2Kg
GERMANY: €3.00 €4.00 €6.00 €7.00 €7.00
EUROPE: €3.50 €5.00 €6.50 €7.50 €13.00
USA AND REST OF WORLD: €5.00 €8.00 €12.00 €16.00 €23.50