Booking
Form
Surname:.......................................First
Name:................................................
Address:.........................................................................................................
Post
code :....................................................Town:.........................................
Tel:............................................e-Mail:..........................................................
Please
enclose a cheque for 80 € made out to Janet Cintas, to
print one colour, edition of six prints.
Date:........................................................Signature.........................................
Please
return this form by post to:
Janet
Cintas
Ligneras 24360 Saint Estephe,FRANCE