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Please describe in the "Description of item or service" box the article or service you are paying for, then indicate in the "Total price" box the amount (in Euros) requested by the SIGNIS General Secretariat as payment of this article/service.

Description of item or service*:
Total price*: Euros
Comment (optional)

Name*:
First name*:
Organisation:
Street*:
City*:
Zip code:
Province/Region:
Country*:
Phone:
Fax:
E-mail:
   

* Requested fields/Champs obligatoires/Datos necesarios