DELIVERY SUBSCRIPTION FORM

ORDER FORM

Name/Surname : .................................................................

Address : .............................................................................................

.............................................................................................

Postal Code: ..................................... City: .........................

Country: ............................................

Tel : .......................................

For the payment of my order please charge my credit card account given below

USD .....................

Credit card charges will be made in New Turkish Lira at current exchange rates.

Card number :

VISA MASTERCARD Expiration Date:

I agree the above mentioned amount to be charged to my VISA/MASTERCARD credit card account and credited to your account with Türkiye İş Bank A.Ş. .Farabi Branch within the rules of the contract signed between yor company Türkiye İş Bank A.Ş.

Date: .......................... Signature: ..........................

1 YEAR

Turkey: 100 USD or 120 YTL

Europa: 135 USD or 95 Avro

ABD: 145 USD