Please print out this order form and send a signed copy to:
Rainer Triller
Wolfsgasse 3
D-53225 Bonn
Germany
From
(Please, fill in your details using block capitals)
Name: __________________________________
First Name: __________________________________
Street, No.: __________________________________
Postal Code: __________________________________
Town (County) __________________________________
Country: __________________________________
Telephone number: __________________________________
E-Mail: __________________________________
Retail price of book € 9, 50
plus postage and package € 1, 45
€ 10, 95
I order _________ copy / copies of Apprecihated World
at a total amount of _________ and I agree to transfer the money to
your bank account.
Date: ______________ Signature:____________________
(Please state date of order on transfer slip!)