| SUBSCRIPTION’S RENEWAL | ||
| title: | ISSN: | |
| periodicity: | quantity: | |
| TYPE OF SUBSCRIPTION | |
| yearly | started: | 
| semi-yearly | finished: | 
| CUSTOMER’S DETAILS | |||||
| individual: | |||||
| personal name: | family name: | ||||
| company: | |||||
| name: | |||||
| institution: | |||||
| name: | |||||
| address: | |||||
| postal code: | city: | ||||
| 
 | |||||
| contact person: | |||||
| personal name: | family name: | ||||
| WAY OF PAYMENT | ||
| bank transfer | in cash | |
| INVOICE DETAILS | |
| name: | |
| address: |