Ihlamurkuyu İnönü Cd. Tevhid Sk. No: 3 Ümraniye / İSTANBUL

PHONE: +90 216) 611 69 70              FAX: +90 216 610 14 83

WITH CREDIT CARD PAYMENT FORM

The CARDS FOR THE BANK:

 

CREDIT CARD NO:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LAST USİNG DATE

 gg/aa/yy
 CART CVC NO:

THE LAST THREE DIGITS OF CARD BACK

NAME SURNAME

  

INVOICE ADDRESS

  

PHONE

MOBILE

  

HOME

  

CARD TYPE:

 

VISA

 

MASTER CARD

 

 EUROCARD

PAYMENT AMOUNT

                                            TL

WRITING WITH

PRODUCT NAME

ORDER DATE

ADDRESS

  

NO

PRODUCT NAME

PRODUCT QUANTITY
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2    
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ABOVE WRITTEN ORDER FOR PAYMENT AMOUNT ET of the PRODUCTS ELECTRICAL DEVICES SAN SURTAŞ. TİC. Inc. I ACCEPT PAY ACCOUNT being. CANCEL PURCHASE have about products, Transfer, AND GENERAL PROVISIONS READ CHANGES I agree.

DATE: ......./...../200   
             
NAME SURNAME :.........................................................................

SIGNATURE :.....................................................................................

PLEASE PRINT FORM AND, AFTER FILL, IDENTITY TOGETHER YAUR PHOTOCOPY

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