ORDER FORM to send together with your Bank transfer to : PURE SON’G 43 rue de la Rochefoucauld 75009 PARIS, France Fax number : +33 9 56 79 06 97 E-mail :
[email protected] IBAN Number : FR76 30003 00100 00020827329 79 - BIC : SOGEFRPP
Address & phone numbers : Surname : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ First Name :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Address :_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __________________________________ _ E-mail : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Telephone :
Fax :
Reference
Unit Price*
CLAUDINE FRANÇOIS “Piano Solo”
FC 104
18 €
CLAUDINE FRANÇOIS “Amazon”
FC 104
18 €
Pan Music PMC 1106
18 €
Title of the album
JIM PEPPER - CLAUDINE FRANÇOIS TRIO “Camargue”
Quantity
Total
TOTAL * Our Price include transport for EU members + Switzerland For any other destination : please contact us at +33 (0) 1 53 21 06 97 or by mail Payment by bank transfer in Euros on our IBAN bank account: FR76 30003 00100 00020827329 79 Bank : Société Générale, Pigalle Branch (F-75009 Paris) – BIC : SOGEFRPP Transfer Charges at your charge Important : don’t forget to mention our address : Pure Son’G - 43 rue de la Rochefoucauld F-75009 PARIS And send us a copy of your bank transfer by fax to +33 9 56 79 06 97 or scan it and send it to
[email protected] (jpeg or pdf files only) www.puresong.fr
