Ordering form

Name :
First name :
E-mail address :
Postal address :


Order :


 
Tshirt Men
 
Tshirt Women
 
Journey story
Small
 
1
Medium
 
2
Large
 
3
XL
 
4
Total
Total

(Total number of T shirts x 15 €) + (2,13€ x total number of T shirts):

(Total number of stories x 10€) + (2,13€ x Total number of stories):

Note: If you order a t-shirt and a story, you pay postage fees only once!

Total Order:

Fill the form, print it and sent it to:

Velopax
Maison des Associations
1A pl, des Orphelins
67000 Strasbourg