| ORDER | ||||||
| title: | ISSN: | |||||
| publisher: | periodicity: | |||||
| quantity: | ||||||
| TYPE OF SUBSCRIPTION | ||||||
| yearly subscription | ||||||
| 
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| CLIENT | |||||
| 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: |