Axem order form

Axem order form


Stones vol.1	Price = 99 $ USD
Exterior vol.1	Price = 99 $ USD
Stones vol.1 & Exterior vol.1	Price = 179 $ USD
Quantity
Shipping and Handling (S/H)	15 $ USD
Total	(Quantity x Price )+ S/H $ USD
Please enter your personal information below :
First Name
Last Name
Company Name
Billing Address
City
State/Province
Zip/Postal Code
Country
Email Address
Telephone Number
Please enter a shipping address below only if it's different from the billing address.
First Name
Last name
Company Name
Ship to Address
City
State/Province
Zip/Postal Code
Country

Payment Information

Please submit your order to us now . You will receive a confirmation of your order by email with an expected delivery date upon receipt of your check. PRINT this confirmation and send us by mail with your check. Normal delivery time is 10-15 days.

Please make checks payable to:
Axem

378 chemin de la coopérative
34560 POUSSAN
FRANCE

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Payment Information

Please make checks payable to: Axem

Please make checks payable to:
Axem