Guldsmedene
Asger og Helge Max Andersen
Skomagergade 9
DK 4000 Roskilde
Phone: +45 46353650 Fax. +45 46353657
If you wish to pay with your payment card, then print this page, fill out the form and send it to us by fax or letter.
| Dankort
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| EuroCard, MasterCard, Visa & JCG
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Card number:
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Valid until:
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Kontrolciffer:
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| Name:_________________________________________ |
| Price DKr.:___________,___DKr. |
| Date: ________ Signature: _______________________ |