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Credit Card authorization
for the order
Please print clearly
I,_______________________________________________, hereby authorize HOTEL MILANO to charge my below credit card for the order of ________ books "DEAR CHHILDREN (English) : Shipment to the US: $14.95
Prices include shipping and handling. Shipping adress: Name______________________________________________ Street______________________________________________ City____________________________ ZIP________________ Country_________________________ CREDIT CARD: VISA ____________________________________ EXP __/__ MASTER CARD ____________________________________ EXP __/__ AMEX ____________________________________ EXP __/__ Card holder name:____________________________________ Work telephone #:____________ Home telephone #: ___________Fax #:_______________ Dirección del envio: ____________________________________ Authorized signature : ____________________________________ Thank you for your order! Please send by email to hmilano@coqui.net
or via fax to (787) 723-7577
Copyright, Juan San Emeterio, 2002 www.hotelmilanopr.com/
All rights reserved. This work may not be reproduced, totally or partially, without the written permission of the author. Translation by Andrew Hurley
PRINTED IN PUERTO RICO
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