Centre Clauderer ACTIV'CROISSANCE PRINT OUT Order Form
In order to receive your Clauderer ACTIV'CROISSANCE Serum,
please print this form and send it with your payment to:
Centre Clauderer 346, rue Saint-Honoré 75001 Paris.
Send us an email at info@clauderer.com, if you do not have a printer.
YOUR DETAILS
Surname (in capital letters)
Name
Address (in capital letters)
Email (optional)
YOUR ORDER
Yes, I wish to take advantage of your Special Internet Offer and receive
the ACTIV'CROISSANCE Reinforced Formula Serum (60 ml)
(please tick the appropriate box)
For France and other European countries 47€, instead of 64€ + 5 € contribution to postage & packing: 52€
For other localities 47€, instead of 64€ + 10€ contribution to postage & packing: 57€
CHOOSE YOUR PAYMENT METHOD
2 month free credit:
By cheque made out to Clauderer. Please attach 2 cheques of the same amount.
For accounting purposes, please date both cheques with the day of your order.
The first will be deposited upon reception of your order; the second the following month.
Full payment upon order, by cheque or money order made out to Clauderer.
Full payment upon order, by credit card.
Card number :
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Expiration date :
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3 last numbers at the back of your credit card
Compulsory date and signature :
Return to: Centre Clauderer, 346, rue Saint-Honoré 75001 Paris - Tel: +33 (0)1 42 61 28 01
