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Please complete the form, print it, sign it and then send it by fax or regular mail.

Fax International:
+41 44 240 2624

Mail:
ORGAZMIK
Postfach 9608
CH-8036 Zurich
Switzerland


Fill in your email address so you get an order confirmation and we can also contact you in case of a problem. We reserve the right to refuse orders that have no email address.


Shipping options [info]
Option A: Without cases
Option A2: ...additionally also without cover sheets
Option B: Regular shipment in original packaging


Accepted creditcards:


  
  Delivery address
(must match cardholders address)

Name (First and Last Name)

Street Address

Postal Code / City, Town

Country

Email address


Payment
VISA Mastercard
Pre-Payment (Account info will be emailed)

Credit Card Number

Expiration Date (MMYY)

Name of Cardholder




I want to place this order and confirm to be 18/21 (depending on State) years or older and agree to the Terms & Conditions


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