1. Complete following form
2. Select your product
3. Supply the requested information, as applicable
4. Select your payment method
5. Send the form, your receive a confirmation
6. Send, when required, a picture / photo / drawing etc. to the address as
mentioned on the confirmation form.
7. After settlement of the payment the delivery cycle starts.
Within 3 weeks after receipt of your payment and possibly your photo/logo etc
you will receive your sign. When delays occur we will contact you. .
Mr. / Mrs.
Mr. Mrs.
Initials:
Last name:
Address:
ZIP:
Place:
Country:
Telephone:
Email:
How did you arrive at this site:
Please also supply code of shop or other channel (gift opportunities!)
Code:
VISA or EURO MasterCARD card: following the submission of this form you
automatically receive a confirmation. On this form a possibility for card
payments through a secure website is offered.
Remarks:
Direct payment (all costs paid by you) to Postbank/ Giro: 4313865 or Bank: ABN-AMRO: 453721737
(IBAN Euro: NL49ABNA0453721737),
Qia b.v., Eersel, The Netherlands. Specify your Zip code, home number,
and orderdate in the description!!