Print-out Order form for “Travel Diary”
for sending per Fax or per snail mail.

Please print it out and fax it to fax number: +49 (6281) 56 35 38
or send it by snail mail (checks: due to bank sur-charges checks don´t make any sense) to:

Wolfgang Ellenberger
ClassiCulturCentrum
Beethovenstrasse 1 a
D-74722 Buchen (Germany)

Yes, rush me 1 copy of “Travel Diary Of A Concert Grand Piano”

included four Bonuses:
Bonus #1: Another double CD-links to listen
Bonus #2: A double set of music sheets of 4 Schubert Impromptus op. 90
Bonus #3: The innovative fingering article as download
Bonus #4: A specialized link-list for DoctorsHobbies.

At the price of 29,90 € (see http://finance.yahoo.com/m3?u for the actual EURO change rate!) all inclusive.

ClassiCulturCentrum will send me an e-mail within 24 hours after receiving my fax or snail mail
(weekends and holidays excluded) giving me download instructions for the eBook so I can start using it immediately.

My first name:
My last name:
My e-mail:
Company (optional):
Street and house number:
City:
Country:
Zip code:
State:
Phone (with country code):
I want to purchase this with my credit card (check one):

Card number (numbers four by four please):

Expiry date: __ __ / __ __
I authorize ClassiCulturCentrum to charge 29,90 € to my credit card for purchase of the “Travel Diary Of A Concert Grand Piano” including 4 bonuses.

Signature: ________________________________

Print-out Order form for “Travel Diary” for sending per Fax or per snail mail.

Print-out Order form for “Travel Diary”
for sending per Fax or per snail mail.