Order form

André Amellér, a french composer of the XX^th century Language :

Print and fill this form and send it via post mail with payment to the address below.
Warning : orders are possible for continental France only.
For others areas, contact us...

Title	Price in euros for members (*)	Price in euros for non members	Number	Total in euros
Annapurna	10	12	x ...	= ...
Hétérodoxes	10	12	x ...	= ...
Danse de Séléné	10	12	x ...	= ...
Concerto pour violoncelle	10	12	x ...	= ...
La Moresca	10	12	x ...	= ...
La Lance de Fingal (prévoir les frais de port pour 2 CD)	20	24	x ...	= ...
Croquignoles	10	12	x ...	= ...
Posting and packaging (Continental France only)	5 for 1 or 2 CD 8 for 3 or 4 CD 12 for 5 or 6 CD	5 for 1 or 2 CD 8 for 3 or 4 CD 12 for 5 or 6 CD	x ...	= ...
Total				= ...

(*) Price for Association members only./p>

Payment

Payment by check to : Association pour la Musique d'André Amellér

Your references

Name
Address
ZIP-code and town
Country
e-mail

Send this form with your payment to :

Association pour la Musique d'André Amellér
c/o Monsieur Jean-Hervé Amellér
8 allée de la Praly
38240 MEYLAN
FRANCE

Send also a mail to jean-herve.ameller(at)orange.fr to allow preparation and following of your order.
(replace (at) by @ ).

Expédition :

order is sent around 4 weeks after reception of order and payment.

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