GALERIE BRUNO BISCHOFBERGER AG
UTOQUAI 29, CH-8008 ZURICH, SWITZERLAND
TEL +41 44 250 77 77, FAX +41 44 250 77 88
 
Please print out the order form, fill it out
and send or fax it to the above address.
If the mailing address is not identical with
the cardholders address we cannot fulfill your order.
All orders will be charged in Swiss Francs only.

ORDER FORM

AMOUNT ARTIST/TITLE TOTAL PRICE IN CHF
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NAME ..................................................................................................................................
ADDRESS

TEL + FAX NR.

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PLEASE DELIVER BY UPS (overnight)
AIRMAIL
SURFACE
PLEASE DEBIT MY VISA CVV2 CODE ........ (CVV2 CODE are the last 3 digits on signature panel, on the back of the card.
MASTERCARD CVV2 CODE ........ Please note the we can not process your order without this number. Thank you.)
CREDITCARD NR. ...................................................................................................................................
EXPIRATION DATE ...................................................................................................................................
DATE + SIGNATURE ...................................................................................................................................

 

HOMEPAGE / GALLERY PUBLICATIONS / CURRENT EXHIBITION