SUBSCRIPTIONS RENEWAL

title:
ISSN:

periodicity:

quantity:


TYPE OF SUBSCRIPTION

yearly started:
semi-yearly finished:


CUSTOMERS DETAILS


individual:
personal name:
family name:
company:
name:
institution:
name:

address:
postal code:
city:
phone:
fax:
e-mail:

contact person:
personal name:
family name:


WAY OF PAYMENT

bank transfer in cash


INVOICE DETAILS


name:

address: