PLEASE ATTENTIVELY AND IT IS CORRECT WRITE IN THE FORM FOR REGISTRATION OF YOUR ORDER!

INDICATE INDEXES BY ORDERING PRODUCT -in left: AND THEIR QUANTITY -in right:
   ( * - obligatory writed )
 1 - Index: *  1 - Quantity: *
 2 - Index:  2 - Quantity:
 3 - Index:  3 - Quantity:
 4 - Index:  4 - Quantity:
 5 - Index:  5 - Quantity:
 6 - Index:  6 - Quantity:
 7 - Index:  7 - Quantity:
 8 - Index:  8 - Quantity:
 9 - Index:  9 - Quantity:
10 - Index: 10 - Quantity:

INDICATE TOTAL COST OF YOUR ORDER:  $USA  *

RELIABLE INFORMATION ON CUSTOMER:     ( * - obligatory writed )

Name:  *

Surname:  *

Your E-mail:  *

Your Telephone:  *

Type of the payment:  *

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