Please provide the following ordering information:
QTY CODE QTY CODE
Total in US$
BILLING

Credit card

Cardholder name

Card number

Expiration date

DELIVERY

Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

FAX

E-mail

URL

Minimum order is US$300.00
The above price subjected to handling fee
For mass order please send e-mail for further instructions


Copyright by balihandicraft.
Last revised: September 30, 1998