Doll's Paradise Barbara Benken
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With the form on the right hand side, you can send me your credit card information by fax or letter. Please fill in the entries and then print this page (or just do it the other way round) and send it either to my fax number:

 (+49)-531-3789501

 or to the following address:

 B. Benken
An der Wabe 5
D-38104 Braunschweig
Germany.

 In any case you should not transmit your credit card data by email!


  

We accept credit cards of the following companies:

  • Visa
  • Eurocard/MasterCard
  • JCB cards
If you wish to pay with American Express or Diners Club, please send us an email.

Authorization
for credit card payment:

I have ordered at Barbara Benken's Doll Paradise
the doll(s) 
for the (total) amount of   Euro (plus shipping)
and would like to make my payment by credit card.
Hereby I give you the information you need for charging me.

All entries with a star* are required entries!

Card owner:*
Card number:*
Card company:*
Valid until:*
 (month/year)
Card verification code:*   Explanation
Address (of card owner):*



Terms of delivery:* read and accepted
Comments:
Date:*  Signature:* 
Please print this page and send it to me by letter or fax.
See the column on the left side for the address and fax number.


Privacy Notice:Your information will be received and stored only for the purpose of carrying out your order. We promise not to give it away to anybody else, unless you have explicitely agreed to this.

Last update: 26.04.2003.
© 2002 Barbara Benken. All rights reserved.
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