Booking
form (please print out)
Surname:...............................................
First name:...........................................
Address:............................................................................................................
Post
code :....................................................Town:............................................
Tel:..............................................e-Mail:...........................................................
Please
enclose a cheque for 80 € made out to Janet Cintas,
to print one colour, edition of six prints.
Date:........................................................Signature.........................................
Please
return this form by post to:
Janet
Cintas
Ligneras 24360 Saint Estephe,FRANCE