PLEASE PRINT THIS FORM • COMPLETE WITH A PEN OR PENCIL • AND THEN FAX OR MAIL
Otto’s

European Import Store & Deli
2320 West Clark Avenue Burbank, California 91506 USA Telephone: (818) 845-0433 Fax: (818) 845-8656

DATE: ______________

| Ordered by:
| Address:
|
|
| Country
| Telephone (Day):| Fax:
| E-Mail Address:
| Ship to: | Ship to:
| Address: | Address:
||
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| Country| Country
| E-Mail:| E-Mail:

Include a separate order form for additional "Print Catalog" orders.

 

Number of"Print Catalogs" Ordered: ______ x $ 5.95 = _______
T O T A L = _______

SHIPPING AND HANDLING INCLUDED!

• Feel Free to send a catalog to a friend or relative!


Checks, Money Orders, Visa, Mastercard, Discover, American Express, and Diners Club accepted. 
Please make check or money order payable to: Otto’s Import Store & Deli


THANK YOU! - Köszönjük Szépen!


 

 

 

 

 

 

PLEASE COMPLETE THIS FORM FOR CREDIT CARD PURCHASES:
Otto’s
European Import Store & Deli
2320 West Clark Avenue Burbank, California 91506 (818) 845-0433 Fax (818) 845-8656

Type of Card: Visa Mastercard American Express Diners Club Discover
Name of Cardholder: |
Card Number: _________|_________|_________|_________|
Security Code: (Listed on the "Back" or "Front" of the Card)
Usually 3 or 4 Digits
 
Expiration Date of Card: |
Amount: |
Cardholder's Billing Address: |
City / State (Province) / Zip Code: |

I agree to comply with Cardholder Agreement:

_____________________        ________ Date __________
Authorized Signature of Cardholder

 

- Thank you for your order! -

Köszönjük Szépen!

 



Otto's - Import Store & Deli
 
Since 1969



Copyright © 1994 - 1998, All rights reserved.