Please note that this page is secure. If you prefer, you may print this form and send it by fax at +33 1 47 42 49 48.
Order Form
Please complete the form below.
1. I would like to order:
2. Contact Information
3. Payment:
I will send a check to the order of WAN
I will send my payment by bank transfer to
WAN Account # 272 733 3192 BNP Agence Saint Agustin 75008 Paris, France Bank Code: 30004 Agence Code: 00760
Please charge to my: Select Visa Mastercard American Express Eurocard
Name and Address of Cardholder:
Please print this form now and keep it as a receipt.
IMPORTANT NOTICE: PLEASE DO NOT SEND PAYMENT WITHOUT THIS ORDER FORM. ENSURE THAT YOU HAVE COMPLETED THE CONTACT INFOMATION FIELDS.
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