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CD-ROM order form

Please fill in the form, and send it or fax it to:

Marsilio Editori
3198, San Marco
30124 Venezia, Italy
FAX: +39 41 5223051

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At the price of Lit. 30,000 for each copy, I would like to order ...copies of the CD-ROM A Virtual Tour in the Venetian Historical Sources.

Name: ...
Last name: ...
Address: ...
City and postal code: ...

Form of payment:
credit card:

American ExpressCard
Visa
Mastercard Cash on delivery
Invoice (only forinstitutions and companies)

Date: ...

Signature: ...

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