Number of copies / Title-Code / Amount CHF / Amount US$
.........BFZS_________CHF....... US$................SSRB_________CHF....... US$.......
.........AA1__________CHF....... US$.......
.........SSA__________CHF....... US$.......
.........AA2__________CHF....... US$.......
Total Amount__________CHF........US$.......
I send the cheque made out to the total amount to:
Editions Structura Mundi,
49 rue de Bourg,
CH 1003 Lausanne, Switzerland
Upon receipt of the cheque, the editor will send the book(s) to my address below
Please mark with (X)..........by surface-mail (no additional charges),
..........by air-mail (ask for additional charges)
My Name:...........My phone.............. my fax:........
My e-mail address:.............
My snail-mail address:.................
Write or paste other instructions here:
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