Problemist ORDER FORM
________________________________________________________________________
Please send your order with your payment to: Matthieu Leschemelle
8 avenue Gambetta
(matthieu@problemist.com) 78100 St Germain en Laye
France
________________________________________________________________________
- Mode of payment accepted:
- Cash (by registered letter)
- Check or "Eurocheque"
- International Money Order
- Cost of Problemist : 25 EUROS
________________________________________________________________________
Date :
Your name and address :
Your operating system : ( ) Windows ( ) MacOS with Windows emulation
( ) Other:_____________________________________
Electronic Mail address:
________________________________________________________________________
How did you hear about Problemist ?
________________________________________________________________________
Comments :