< HOME PAGE MODULO D'ORDINE / ORDER FORM

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VIVAIO CORAZZA                     Nome / Name: ___________________________
C.P. 103
55045 PIETRASANTA (LU)                                              Indirizzo / Address: _______________________
ITALY
                                                                                                 _______________________________________
Tel./Fax (autom.): (+39) 058421565
E-mail: vivaiocorazza@vivaiocorazza.com                           _______________________________________

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E-mail: ________________________________

Pagamento tramite / Payment by:                                                                      Totale dell'ordine / Order total:

__________________________                                                                           € ____________

Articolo / Item                                                                                                              Quantità              Prezzo / Price
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Totale merce / Goods total: ................................................................................ €________

Posta e imballo / Post and packing:..............................................................€________

Per eventuali articoli esauriti chiedo / For possible sold-out items I ask for:
o una nota di credito / a credit note
o le seguenti alternative (in ordine di preferenza) / The following alternatives (in order of preference):

Articolo / Item                                                                                                               Quantità          Prezzo / Price
                                                                                                                                         Quantity          €
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